0001610391-14-000002.txt : 20140728 0001610391-14-000002.hdr.sgml : 20140728 20140728114750 ACCESSION NUMBER: 0001610391-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140728 DATE AS OF CHANGE: 20140728 EFFECTIVENESS DATE: 20140728 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Minnetonka Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0001610391 IRS NUMBER: 465653486 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-221829 FILM NUMBER: 14996056 BUSINESS ADDRESS: STREET 1: 3300 OAKDALE AVENUE NORTH CITY: ROBBINSDALE STATE: MN ZIP: 55422 BUSINESS PHONE: 6059884711 MAIL ADDRESS: STREET 1: 3300 OAKDALE AVENUE NORTH CITY: ROBBINSDALE STATE: MN ZIP: 55422 D 1 primary_doc.xml X0707 D LIVE 0001610391 Minnetonka Ambulatory Surgery Center, LLC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN MINNESOTA 55422 6059884711 MINNESOTA None None Limited Liability Company true 2014 J. Kevin Croston 3300 Oakdale Avenue North Robbinsdale MN MINNESOTA 55422 Director Tiffany Zitzewitz 3300 Oakdale Avenue North Robbinsdale MN MINNESOTA 55422 Director Ryan Johnson 3300 Oakdale Avenue North Robbinsdale MN MINNESOTA 55422 Director Reed Martin 600 S. Cliff Avenue, Suite 106 Sioux Falls SD SOUTH DAKOTA 57106 Director Other Health Care Decline to Disclose 06b false true false true false 10000 700000 0 700000 false 0 0 0 0 false Minnetonka Ambulatory Surgery Center, LLC Patrick J. Knecht Patrick J. Knecht Authorized Attorney 2014-07-28