0001437749-19-009057.txt : 20190508 0001437749-19-009057.hdr.sgml : 20190508 20190508113540 ACCESSION NUMBER: 0001437749-19-009057 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190508 DATE AS OF CHANGE: 20190508 EFFECTIVENESS DATE: 20190508 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Legacy Surgical Holding, LLC CENTRAL INDEX KEY: 0001774868 IRS NUMBER: 833568891 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-339063 FILM NUMBER: 19805694 BUSINESS ADDRESS: STREET 1: 1918 RANDOLPH ROAD CITY: CHARLOTTE STATE: NC ZIP: 28207 BUSINESS PHONE: 704-916-2135 MAIL ADDRESS: STREET 1: 1918 RANDOLPH ROAD CITY: CHARLOTTE STATE: NC ZIP: 28207 D 1 primary_doc.xml X0708 D LIVE 0001774868 Legacy Surgical Holding, LLC 1918 Randolph Road Suite 130 Charlotte NC NORTH CAROLINA 28207 704-916-2135 NORTH CAROLINA None None Limited Liability Company true 2018 J. Clay Baker 1918 Randolph Road Suite 130 Charlotte NC NORTH CAROLINA 28207 Executive Officer Director Officer and Director of Manager Bryan Blitstein 1918 Randolph Road Suite 130 Charlotte NC NORTH CAROLINA 28207 Executive Officer Director Officer and Director of Manager Paul Orland 1918 Randolph Road Suite 130 Charlotte NC NORTH CAROLINA 28207 Executive Officer Director Officer and Director of Manager Leslie Webster 1918 Randolph Road Suite 130 Charlotte NC NORTH CAROLINA 28207 Executive Officer Director Officer and Director of Manager Louis Zbinden 1918 Randolph Road Suite 130 Charlotte NC NORTH CAROLINA 28207 Executive Officer Director Officer and Director of Manager Eric Lee Wallace 1918 Randolph Road Suite 130 Charlotte NC NORTH CAROLINA 28207 Executive Officer Director Officer and Director of Manager Other Health Care Decline to Disclose 06b false 2019-05-02 false true false 94091 1035000 1035000 0 false 11 0 0 0 false Legacy Surgical Holding, LLC /s/ J. Clay Baker J. Clay Baker Officer of Manager 2019-05-07