0001733741-18-000001.txt : 20180309 0001733741-18-000001.hdr.sgml : 20180309 20180309140038 ACCESSION NUMBER: 0001733741-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180309 DATE AS OF CHANGE: 20180309 EFFECTIVENESS DATE: 20180309 FILER: COMPANY DATA: COMPANY CONFORMED NAME: USRC West Fork, LLC CENTRAL INDEX KEY: 0001733741 IRS NUMBER: 611857005 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-307353 FILM NUMBER: 18679569 BUSINESS ADDRESS: STREET 1: 5851 LEGACY CIRCLE STREET 2: STE 900 CITY: PLANO STATE: TX ZIP: 75024 BUSINESS PHONE: 2147362700 MAIL ADDRESS: STREET 1: 5851 LEGACY CIRCLE STREET 2: STE 900 CITY: PLANO STATE: TX ZIP: 75024 D 1 primary_doc.xml X0708 D LIVE 0001733741 USRC West Fork, LLC 5851 LEGACY CIRCLE STE 900 PLANO TX TEXAS 75024 2147362700 DELAWARE None None Limited Liability Company true 2017 J. Christopher Brengard 5851 Legacy Circle, Suite 900 Plano TX TEXAS 75024 Executive Officer Director Thomas Weinberg 5851 Legacy Circle, Suite 900 Plano TX TEXAS 75024 Executive Officer Director John F. Egan 5851 Legacy Circle, Suite 900 Plano TX TEXAS 75024 Executive Officer Stephen Pirri 5851 Legacy Circle, Suite 900 Plano TX TEXAS 75024 Executive Officer Ponniah S. Sankarapandian 1000 W. Cannon Fort Worth TX TEXAS 76104 Director Other Health Care Decline to Disclose 06b false 2018-02-28 false true false 0 1000000 0 1000000 Upon the requisite vote of the Members, the Members may be required to make capital contributions to the Issuer from time to time, in addition to the offering amount listed above, in proportion to Members' respective ownership in Issuer. false 2 0 0 0 false USRC West Fork, LLC /s/ Thomas L. Weinberg Thomas L. Weinberg Chairman, Secretary, Treasurer 2018-03-09