0001144204-17-021505.txt : 20170421
0001144204-17-021505.hdr.sgml : 20170421
20170421150205
ACCESSION NUMBER: 0001144204-17-021505
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170421
DATE AS OF CHANGE: 20170421
EFFECTIVENESS DATE: 20170421
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: National Surgical Partners, LLC
CENTRAL INDEX KEY: 0001704408
IRS NUMBER: 814402435
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-285311
FILM NUMBER: 17775383
BUSINESS ADDRESS:
STREET 1: 355 POST AVENUE
STREET 2: SUITE 103
CITY: WESTBURY
STATE: NY
ZIP: 11590
BUSINESS PHONE: (516) 876-2318
MAIL ADDRESS:
STREET 1: 355 POST AVENUE
STREET 2: SUITE 103
CITY: WESTBURY
STATE: NY
ZIP: 11590
D
1
primary_doc.xml
X0707
D
LIVE
0001704408
National Surgical Partners, LLC
355 POST AVENUE
SUITE 103
WESTBURY
NY
NEW YORK
11590
(516) 876-2318
DELAWARE
None
None
Limited Liability Company
true
2016
Charles
N.
Friedlander
c/o Friedlander & Associates, LLC
1979 Marcus Avenue, Suite 210
Lake Success
NY
NEW YORK
11042
Executive Officer
Member of Board of Managers
Richard
Ventimiglia
c/o Friedlander & Associates, LLC
1979 Marcus Avenue, Suite 210
Lake Success
NY
NEW YORK
11042
Executive Officer
Member of Board of Managers
Giovanna
Guerci
c/o Friedlander & Associates, LLC
1979 Marcus Avenue, Suite 210
Lake Success
NY
NEW YORK
11042
Executive Officer
Member of Board of Managers
Frederic
Martello
355 Post Avenue
Suite 103
Westbury
NY
NEW YORK
11590
Executive Officer
Member of Board of Managers
Vinson
J.
Friedman
c/o Berkman Henoch
100 Garden City Plaza
Garden City
NY
NEW YORK
11530
Executive Officer
Member of Board of Managers
Mohammad
Badar
Anwer
410 Celebration Place
Suite 40
Celebration
FL
FLORIDA
34747
Executive Officer
Cat
Taylor
191 Spartina Avenue
St. Augustine
FL
FLORIDA
32080
Executive Officer
Jeffrey
Berman
240 W 75th Street
Apt. 5B
New York
NY
NEW YORK
10023
Executive Officer
Director
Member of Board of Managers
Other Health Care
Decline to Disclose
- 06b
false
true
false
true
false
0
90000
0
90000
false
0
0
0
0
false
National Surgical Partners, LLC
/s/ Richard Ventimiglia
Richard Ventimiglia
Member of Board of Managers
2017-04-19