0001651984-15-000001.txt : 20150828 0001651984-15-000001.hdr.sgml : 20150828 20150828161500 ACCESSION NUMBER: 0001651984-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150828 DATE AS OF CHANGE: 20150828 EFFECTIVENESS DATE: 20150828 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pacific ASC, LLC CENTRAL INDEX KEY: 0001651984 IRS NUMBER: 270260491 STATE OF INCORPORATION: HI FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-246667 FILM NUMBER: 151082333 BUSINESS ADDRESS: STREET 1: 650 IWILEI ROAD, #225 CITY: HONOLULU STATE: HI ZIP: 96817 BUSINESS PHONE: (808) 356-4300 MAIL ADDRESS: STREET 1: 650 IWILEI ROAD, #225 CITY: HONOLULU STATE: HI ZIP: 96817 D 1 primary_doc.xml X0707 D LIVE 0001651984 Pacific ASC, LLC 650 IWILEI ROAD, #225 HONOLULU HI HAWAII 96817 (808) 356-4300 HAWAII None None Limited Liability Company true Hank Wuh 650 Iwilei Road, #225 Honolulu HI HAWAII 96817 Director Promoter Manager Douglas M. Tonokawa 650 Iwilei Road, #225 Honolulu HI HAWAII 96817 Executive Officer Director Promoter former Manager, current Secretary/Treasurer & Administrator Gregg Kokame 650 Iwilei Road, #225 Honolulu HI HAWAII 96817 Executive Officer Director Promoter Manager, President Troy Tanji 650 Iwilei Road, #225 Honolulu HI HAWAII 96817 Director Promoter Manager John Olkowski 650 Iwilei Road, #225 Honolulu HI HAWAII 96817 Director Promoter Manager, Medical Director Mark Mugiishi 650 Iwilei Road, #225 Honolulu HI HAWAII 96817 Director Promoter former Manager Ron Walker 650 Iwilei Road, #225 Honolulu HI HAWAII 96817 Director Clinical Director Other Health Care Decline to Disclose 06b false 2015-08-13 false true false 27500 55000 55000 0 false 1 0 0 0 false Pacific ASC, LLC Douglas Tonokawa Douglas Tonokawa Secretary/Treasurer 2015-08-28