0001104659-23-075168.txt : 20230627 0001104659-23-075168.hdr.sgml : 20230627 20230627132733 ACCESSION NUMBER: 0001104659-23-075168 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230627 DATE AS OF CHANGE: 20230627 EFFECTIVENESS DATE: 20230627 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 787 Ortho ASC LLC CENTRAL INDEX KEY: 0001983164 IRS NUMBER: 881825426 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-485252 FILM NUMBER: 231045863 BUSINESS ADDRESS: STREET 1: 787 11TH AVENUE, 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: (917) 608-1268 MAIL ADDRESS: STREET 1: 787 11TH AVENUE, 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 D 1 primary_doc.xml X0708 D LIVE 0001983164 787 Ortho ASC LLC 787 11TH AVENUE, 6TH FLOOR NEW YORK NY NEW YORK 10019 (917) 608-1268 DELAWARE None None Limited Liability Company true 2021 Brent Stackhouse c/o 787 Ortho ASC LLC 787 11th Avenue, 6th Floor New York NY NEW YORK 10019 Executive Officer Class B Manager Richard Searles c/o 787 Ortho ASC LLC 787 11th Avenue, 6th Floor New York NY NEW YORK 10019 Executive Officer Class B Manager Paul Cagle c/o 787 Ortho ASC LLC 787 11th Avenue, 6th Floor New York NY NEW YORK 10019 Executive Officer Class A Manager Saad Chaudhary c/o 787 Ortho ASC LLC 787 11th Avenue, 6th Floor New York NY NEW YORK 10019 Executive Officer Class A Manager James Gladstone c/o 787 Ortho ASC LLC 787 11th Avenue, 6th Floor New York NY NEW YORK 10019 Executive Officer Class A Manager Other Health Care Decline to Disclose 06b false 2023-01-04 false true false 40000 980000 864000 116000 false 18 0 0 0 false 787 Ortho ASC LLC /s/ Brent Stackhouse Brent Stackhouse Class B Manager 2023-06-21