0001144204-17-025539.txt : 20170509 0001144204-17-025539.hdr.sgml : 20170509 20170509130704 ACCESSION NUMBER: 0001144204-17-025539 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170509 DATE AS OF CHANGE: 20170509 EFFECTIVENESS DATE: 20170509 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: 021-286308 FILM NUMBER: 17825559 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 Director 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 Director 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 Director Member of Board of Managers Frederic Martello 355 POST AVENUE SUITE 103 WESTBURY NY NEW YORK 11590 Executive Officer Director Member of Board of Managers Vinson J. Friedman c/o Berkman Henoch 100 Garden City Plaza Garden City NY NEW YORK 11530 Executive Officer Director 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 More than five (5) Associated Persons None Fitzgibbon Toigo & Co. LLC 122142 412 PARK STREET UPPER MONTCLAIR NJ NEW JERSEY 07043 CA CALIFORNIA CT CONNECTICUT FL FLORIDA IL ILLINOIS MA MASSACHUSETTS MO MISSOURI NJ NEW JERSEY NY NEW YORK PA PENNSYLVANIA TN TENNESSEE TX TEXAS false 12500000 0 12500000 false 0 437500 true 0 Fee will be reduced by amount of monthly consulting fee paid to Advisor as described in Confidential Memorandum. 1957000 true Approximately $1,957,000 of the proceeds of this offering will be used by the Issuer to pay purchase price proceeds to entities owned directly or indirectly by one or more of the Managers of Issuer as more fully described in the Confidential Memorandum. false National Surgical Partners, LLC /s/ Frederic Martello Frederic Martello Member of Board of Managers 2017-05-08