0001015325-18-000009.txt : 20180308 0001015325-18-000009.hdr.sgml : 20180308 20180308095029 ACCESSION NUMBER: 0001015325-18-000009 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180308 DATE AS OF CHANGE: 20180308 EFFECTIVENESS DATE: 20180308 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Atlantic Gastro Surgicenter, LLC CENTRAL INDEX KEY: 0001716934 IRS NUMBER: 223645443 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-307203 FILM NUMBER: 18675290 BUSINESS ADDRESS: STREET 1: 2500 YORK ROAD, SUITE 300 CITY: JAMISON STATE: PA ZIP: 18929 BUSINESS PHONE: (877) 442-3687 MAIL ADDRESS: STREET 1: 2500 YORK ROAD, SUITE 300 CITY: JAMISON STATE: PA ZIP: 18929 D 1 primary_doc.xml X0708 D LIVE 0001716934 Atlantic Gastro Surgicenter, LLC 2500 YORK ROAD, SUITE 300 JAMISON PA PENNSYLVANIA 18929 (877) 442-3687 NEW JERSEY None None Limited Liability Company true Barry Kaufman c/o Atlantic Gastro Surgicenter, LLC 2500 York Road, Suite 300 Jamison PA PENNSYLVANIA 18929 Executive Officer Director Jeffrey Petersohn c/o Atlantic Gastro Surgicenter, LLC 2500 York Road, Suite 300 Jamison PA PENNSYLVANIA 18929 Director Lara Jordan c/o Atlantic Gastro Surgicenter, LLC 2500 York Road, Suite 300 Jamison PA PENNSYLVANIA 18929 Director Gary Rosman c/o Atlantic Gastro Surgicenter, LLC 2500 York Road, Suite 300 Jamison PA PENNSYLVANIA 18929 Executive Officer Karen Sablyak c/o Atlantic Gastro Surgicenter, LLC 2500 York Road, Suite 300 Jamison PA PENNSYLVANIA 18929 Executive Officer Tara Hamburger c/o Atlantic Gastro Surgicenter, LLC 2500 York Road, Suite 300 Jamison PA PENNSYLVANIA 18929 Executive Officer Other Health Care Decline to Disclose 06b false 2017-04-01 false true false 0 45595 45595 0 false 1 0 0 45595 true Reflects amount paid to a member for partial redemption of its interest in the company, which member is owned in part by two of the company's related persons false Atlantic Gastro Surgicenter, LLC /s/ Karen Sablyak Karen Sablyak Treasurer 2018-02-26