0001658909-15-000001.txt : 20151202 0001658909-15-000001.hdr.sgml : 20151202 20151202121153 ACCESSION NUMBER: 0001658909-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151202 DATE AS OF CHANGE: 20151202 EFFECTIVENESS DATE: 20151202 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Union County Surgery Center, LLC CENTRAL INDEX KEY: 0001658909 IRS NUMBER: 474198890 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-252236 FILM NUMBER: 151263999 BUSINESS ADDRESS: STREET 1: 950 W. CHESTNUT STREET STREET 2: SUITE 200 CITY: UNION STATE: NJ ZIP: 07083 BUSINESS PHONE: 908-688-2700 MAIL ADDRESS: STREET 1: 950 W. CHESTNUT STREET STREET 2: SUITE 200 CITY: UNION STATE: NJ ZIP: 07083 D 1 primary_doc.xml X0707 D LIVE 0001658909 Union County Surgery Center, LLC 950 W. CHESTNUT STREET SUITE 200 UNION NJ NEW JERSEY 07083 908-688-2700 NEW JERSEY None None Limited Liability Company true 2015 Gregory Charko, MD 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Jorge Mendez, MD 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Glenn Davison, DPM 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Robert Zannella, DPM 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Douglas DeLorenzo, DPM 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Jason Galante, DPM 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers James Frost, MD 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Mark Schoenfeld, MD 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Paul Abend, DO 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Joseph Mejia, DO 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers John Mostafa, DPM 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers dba Ambulatory Surgical Centers of America Cataract and Laser Center Partners, L.L.C. 950 W. Chestnut Street Suite 200 Union NJ NEW JERSEY 07083 Director Board of Managers Other Health Care Decline to Disclose 06b false 2015-11-18 false true false 0 205000 205000 0 false 12 0 0 0 false Union County Surgery Center, LLC /s/ Thomas Bombardier Thomas Bombardier Manager of Member 2015-12-02