X0704 D LIVE 0001345687 Specialty Surgical Center of Thousand Oaks, LLC 40 BURTON HILLS BLVD SUITE 500 NASHVILLE TN TENNESSEE 37215 615-234-5900 CALIFORNIA Specialty Surgical Center of Thousand Oaks LLC Limited Liability Company true 2005 . SMBISS Thousand Oaks, LLC 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Promoter Sole Class B member of the issuer Andrew A. Brooks, M.D. 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Director Governing Board Member David Chi, M.D. 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Director Governing Board Member Glenn Cohen, M.D. 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Director Governing Board Member Mark Farnum, M.D. 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Director Governing Board Member George Goodwin 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Director Governing Board Member Anthony Bond 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Director Governing Board Member . Symbion Holdings Corporation 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Promoter . Symbion, Inc. 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Promoter Kenneth Mitchell 40 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Teresa Sparks 30 Burton Hills Boulevard Suite 500 Nashville TN TENNESSEE 37215 Executive Officer Hospitals and Physicians Decline to Disclose 06 false true false true false 9700 Burch & Company, Inc. 102280 Michael A. Crabb III 4462833 1201 NW Briarcliff Parkway Suite 360 Kansas City, MO MISSOURI 64116 CA CALIFORNIA false 902100 0 902100 false 0 25000 0 0 false Specialty Surgical Center of Thousand Oaks, LLC /s/ Teresa Sparks Teresa Sparks Vice President 2010-06-10