0001144204-19-030606.txt : 20190612
0001144204-19-030606.hdr.sgml : 20190612
20190611174743
ACCESSION NUMBER: 0001144204-19-030606
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190612
DATE AS OF CHANGE: 20190611
EFFECTIVENESS DATE: 20190612
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-286308
FILM NUMBER: 19891944
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/A
1
primary_doc.xml
X0708
D/A
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
true
0001144204-17-025539
2019-01-16
true
true
false
100000
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
3000000
1250000
1750000
false
19
105000
true
0
Fee will be reduced by amount of monthly consulting fee paid to Advisor as described in Confidential Memorandum.
410000
true
Up to $410,000 of the proceeds of this offering may be used by the Issuer to pay compensation of executive officers of the Issuer as more fully described in the Confidential Memorandum.
false
National Surgical Partners, LLC
/s/ Richard Ventimiglia
Richard Ventimiglia
Chief Executive Officer
2019-06-10