0001598120-14-000001.txt : 20140124 0001598120-14-000001.hdr.sgml : 20140124 20140124140113 ACCESSION NUMBER: 0001598120-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140124 DATE AS OF CHANGE: 20140124 EFFECTIVENESS DATE: 20140124 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jackson Surgical Center, LLC CENTRAL INDEX KEY: 0001598120 IRS NUMBER: 460638060 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-210678 FILM NUMBER: 14545457 BUSINESS ADDRESS: STREET 1: 1350 CAMPUS PARKWAY, SUITE 110 CITY: NEPTUNE STATE: NJ ZIP: 07753 BUSINESS PHONE: 732-751-7547 MAIL ADDRESS: STREET 1: 1350 CAMPUS PARKWAY, SUITE 110 CITY: NEPTUNE STATE: NJ ZIP: 07753 D 1 primary_doc.xml X0707 D LIVE 0001598120 Jackson Surgical Center, LLC 1350 CAMPUS PARKWAY, SUITE 110 NEPTUNE NJ NEW JERSEY 07753 732-751-7547 NEW JERSEY None None Limited Liability Company true 2012 Salvatore Inciardi 1350 Campus Parkway Suite 110 Neptune NJ NEW JERSEY 07753 Executive Officer Karla Cusano 1350 Campus Parkway Suite 110 Neptune NJ NEW JERSEY 07753 Executive Officer Mark Garvin 15305 Dallas Parkway Suite 1600-LB 28 Addison TX TEXAS 75001 Executive Officer Teresa Danna 15305 Dallas Parkway Suite 1600-LB 28 Addison TX TEXAS 75001 Executive Officer Hospitals and Physicians Decline to Disclose 06b false 2014-01-15 false true false 12500 THE SECURITIES GROUP, LLC 118148 THE SECURITIES GROUP, LLC 118148 6465 North Quail Hollow Road, Suite 400 Memphis TN TENNESSEE 38120 NJ NEW JERSEY false 1225000 50000 1175000 false 2 30000 0 0 false Jackson Surgical Center, LLC /s/ Salvatore Inciardi Salvatore Inciardi President 2014-01-24