0001596979-14-000002.txt : 20140114 0001596979-14-000002.hdr.sgml : 20140114 20140114140611 ACCESSION NUMBER: 0001596979-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140114 DATE AS OF CHANGE: 20140114 EFFECTIVENESS DATE: 20140114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mercy Memorial Surgical Co-Management Co LLC CENTRAL INDEX KEY: 0001596979 IRS NUMBER: 464315135 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-210025 FILM NUMBER: 14526810 BUSINESS ADDRESS: STREET 1: 718 N MACOMB ST CITY: MONROE STATE: MI ZIP: 48162 BUSINESS PHONE: 734-240-4550 MAIL ADDRESS: STREET 1: 718 N MACOMB ST CITY: MONROE STATE: MI ZIP: 48162 D 1 primary_doc.xml X0707 D LIVE 0001596979 Mercy Memorial Surgical Co-Management Co LLC 718 N MACOMB ST MONROE MI MICHIGAN 48162 734-240-4550 MICHIGAN None None Limited Liability Company true 2013 Anthony Melonakos 718 N Macomb St Monroe MI MICHIGAN 48162 Director Physician Manager Taufiek Alhadi 718 N Macomb St Monroe MI MICHIGAN 48162 Director Physician Manager Chris Kelly 718 N Macomb St Monroe MI MICHIGAN 48162 Director Physician Manager Michael Charboneau 718 N Macomb St Monroe MI MICHIGAN 48162 Director Physician Manager Martin Pakideh 718 N Macomb St Monroe MI MICHIGAN 48162 Director Physician Manager Gary Moorman 718 N Macomb St Monroe MI MICHIGAN 48162 Director Hospital Manager Tom Schilling 718 N Macomb St Monroe MI MICHIGAN 48162 Director Hospital Manager Michele Sampson 718 N Macomb St Monroe MI MICHIGAN 48162 Director Hospital Manager Other No Revenues 06b false 2014-01-01 false true false 2500 62500 37500 25000 true 1 15 0 0 0 false Mercy Memorial Surgical Co-Management Co LLC Phillip VanLaan Phillip VanLaan Authorized Agent 2014-01-14