0001790809-20-000001.txt : 20200116 0001790809-20-000001.hdr.sgml : 20200116 20200116145748 ACCESSION NUMBER: 0001790809-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200116 DATE AS OF CHANGE: 20200116 EFFECTIVENESS DATE: 20200116 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prime Surgical Center of Encino, LLC CENTRAL INDEX KEY: 0001790809 IRS NUMBER: 611748172 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-358261 FILM NUMBER: 20530493 BUSINESS ADDRESS: STREET 1: 5353 BALBOA BLVD, SUITE 300 CITY: ENCINO STATE: CA ZIP: 91316 BUSINESS PHONE: 8189379969 MAIL ADDRESS: STREET 1: 550 N BRAND BLVD, SUITE 900 CITY: GLENDALE STATE: CA ZIP: 91203 D 1 primary_doc.xml X0708 D LIVE 0001790809 Prime Surgical Center of Encino, LLC 5353 BALBOA BLVD, SUITE 300 ENCINO CA CALIFORNIA 91316 8189379969 CALIFORNIA None None Limited Liability Company true Raffi Tchamanian 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Alen Petrosyan 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Jacob Tchamanian 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Caroline Singer 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Alejandro Gonzalez 550 N Brand Blvd, suite 900 Glendale CA CALIFORNIA 91203 Executive Officer Other Health Care $1 - $1,000,000 06b false 2015-03-01 true true false 12689 750000 180000 570000 false 18 0 0 0 true Maintenance of the redemption fund false Prime Surgical Center of Encino, LLC Raffi Tchamanian Raffi Tchamanian Chief Financial Officer 2020-01-16