0001693749-22-000001.txt : 20220627 0001693749-22-000001.hdr.sgml : 20220627 20220627133549 ACCESSION NUMBER: 0001693749-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220627 DATE AS OF CHANGE: 20220627 EFFECTIVENESS DATE: 20220627 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Seashore Surgical Institute, L.L.C. CENTRAL INDEX KEY: 0001693749 IRS NUMBER: 000000000 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-450330 FILM NUMBER: 221043502 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 D 1 primary_doc.xml X0708 D LIVE 0001693749 Seashore Surgical Institute, L.L.C. 495 JACK MARTIN BLVD. SUITE 1 BRICK NJ NEW JERSEY 08724 732-836-9800 NEW JERSEY None None Limited Liability Company true Ralph Del Negro 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Executive Officer Director President and Member of Board of Managers Bill Basri 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Executive Officer Director Secretary and Member of Board of Managers Michael Pecoraro 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Nancy Easley-Mack 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Jennifer Romond 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Christopher Pomrink, MD 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Director Member of Board of Managers Barry Graf 495 Jack Martin Blvd. Suite 1 Brick NJ NEW JERSEY 08724 Executive Officer Senior Vice President Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 NJ NEW JERSEY false 780020 0 780020 false 0 0 0 0 false Seashore Surgical Institute, L.L.C. /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2022-06-27