0001789638-19-000001.txt : 20190927 0001789638-19-000001.hdr.sgml : 20190927 20190927152408 ACCESSION NUMBER: 0001789638-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190927 DATE AS OF CHANGE: 20190927 EFFECTIVENESS DATE: 20190927 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AtlantiCare Surgery Center, L.L.C. CENTRAL INDEX KEY: 0001789638 IRS NUMBER: 223491867 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-349864 FILM NUMBER: 191121747 BUSINESS ADDRESS: STREET 1: 2500 ENGLISH CREEK AVENUE, SUITE 702 CITY: EGG HARBOR TOWNSHIP STATE: NJ ZIP: 08234 BUSINESS PHONE: 609-407-7031 MAIL ADDRESS: STREET 1: 2500 ENGLISH CREEK AVENUE, SUITE 702 CITY: EGG HARBOR TOWNSHIP STATE: NJ ZIP: 08234 D 1 primary_doc.xml X0708 D LIVE 0001789638 AtlantiCare Surgery Center, L.L.C. 2500 ENGLISH CREEK AVENUE, SUITE 702 EGG HARBOR TOWNSHIP NJ NEW JERSEY 08234 609-407-7031 NEW JERSEY None None Limited Liability Company true MELISSA BUSHNELL 2500 ENGLISH CREEK AVENUE SUITE 702 EGG HARBOR TOWNSHIP NJ NEW JERSEY 08234 Executive Officer RICHARD ZALMAN 2500 ENGLISH CREEK AVENUE SUITE 702 EGG HARBOR TOWNSHIP NJ NEW JERSEY 08234 Executive Officer HAK KIM 2500 ENGLISH CREEK AVENUE SUITE 702 EGG HARBOR TOWNSHIP NJ NEW JERSEY 08234 Executive Officer MANAGER'S REPRESENTATIVE ATLANTICARE HEALTH SERVICES, INC. 2500 ENGLISH CREEK AVENUE SUITE 702 EGG HARBOR TOWNSHIP NJ NEW JERSEY 08234 Director MANAGER Hospitals and Physicians Decline to Disclose 06b false true false true false 500 1432000 0 1432000 false 0 0 0 0 false AtlantiCare Surgery Center, L.L.C. /S/ HAK KIM HAK KIM MANAGER'S REPRESENTATIVE 2019-09-27