0001785167-19-000001.txt : 20190812 0001785167-19-000001.hdr.sgml : 20190812 20190812122803 ACCESSION NUMBER: 0001785167-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190812 DATE AS OF CHANGE: 20190812 EFFECTIVENESS DATE: 20190812 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Capital Orthopaedic & Spine Surgery Center, LLC CENTRAL INDEX KEY: 0001785167 IRS NUMBER: 833923443 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-346304 FILM NUMBER: 191015155 BUSINESS ADDRESS: STREET 1: 6109 TEMPLE STREET CITY: BETHESDA STATE: MD ZIP: 20817 BUSINESS PHONE: (214) 923-6772 MAIL ADDRESS: STREET 1: 6109 TEMPLE STREET CITY: BETHESDA STATE: MD ZIP: 20817 D 1 primary_doc.xml X0708 D LIVE 0001785167 Capital Orthopaedic & Spine Surgery Center, LLC 6109 TEMPLE STREET BETHESDA MD MARYLAND 20817 (214) 923-6772 MARYLAND None None Limited Liability Company true 2019 BENJAMIN STEIN 6109 TEMPLE STREET BETHESDA MD MARYLAND 20817 Executive Officer Director Promoter President and Lead Manager JAKE FINGERT 6109 TEMPLE STREET BETHESDA MD MARYLAND 20817 Director Manager GAUTAM SIRAM 6109 TEMPLE STREET BETHESDA MD MARYLAND 20817 Director Manager RANDALL PEYTON 6109 TEMPLE STREET BETHESDA MD MARYLAND 20817 Director Manager Hospitals and Physicians Decline to Disclose 06b false 2019-07-29 false true false 30000 660000 600000 60000 false 10 0 0 0 false Capital Orthopaedic & Spine Surgery Center, LLC /s/ Benjamin Stein Benjamin Stein President and Lead Manager 2019-08-12