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- S-4 Registration of securities issued in business combination transactions
- 3.1 Amend Cert of Incorp of Symbion
- 3.2 Amend & Restated Bylaws of Symbion
- 3.3 Articles of Org./ambulatory Resource
- 3.4 Operating Agmt/ambulatory Resource
- 3.5 Articles of Inc/ambulatory Resource
- 3.6 Bylaws/ambulatory Resource Centres/fl
- 3.7 Charter/ambulatory Res. Centres/mass.
- 3.8 Bylaws/ambulatory Res. Centres/mass.
- 3.9 Charter/ambulatory Res. Centres/texas
- 3.10 Bylaws/ambulatory Res. Centres/texas
- 3.11 Charter/ambulatory Res. Centres/washington
- 3.12 Bylaws/ambulatory Res. Centres/washington
- 3.13 Charter/ambulatory Res. Centres/wilmington
- 3.14 Bylaws/ambulatory Res. Centres/wilmington
- 3.15 Charter of Arc Development Corp.
- 3.16 Bylaws of Arc Development Corp.
- 3.17 Charter of Arc Dry Creek, Inc.
- 3.18 Bylaws of Arc Dry Creek, Inc.
- 3.19 Charter of Arc Financial Services Corp.
- 3.20 Bylaws of Arc Financial Services Corp.
- 3.21 Certificate of Formation of Asc-hammond Inc.
- 3.22 Bylaws of Asc of Hammond, Inc.
- 3.23 Articles of Org. of Asc of New Albany, LLC
- 3.24 Operating Agmt of Asc of New Albany, LLC
- 3.25 Articles of Inc./houston Psc-i, Inc., As Amend.
- 3.26 Bylaws of Houston Psc-i, Inc.
- 3.27 Art. of Incorp of Lubbock Surgicenter, Inc.
- 3.28 Bylaws of Lubbock Surgicenter, Inc.
- 3.29 Charter of Medisphere Health Partners Ok City, Inc
- 3.30 Bylaws of Medisphere Health Partners Oklahoma City
- 3.31 Charter of Medisphere Health Partners MGMT of Tenn
- 3.32 Bylaws of Medisphere HLTH Partners MGMT of TN, Inc
- 3.33 Cert.of Formation of Neospin Surg. of Bristol, LLC
- 3.34 Operating Agmt of Neospin Surgery of Bristol, LLC
- 3.35 Cert. of Form. of Neospin Surgery of Nashville LLC
- 3.36 LTD Liab Comp Agmt of Neospine Surgery of Nash LLC
- 3.37 Cert. of Formation of Neospine Surgery of Puyallup
- 3.38 LTD Liab Comp of Neospine Surgery of Puyallup LLC
- 3.39 Certificate of Formation Neospine Surgery, LLC
- 3.40 LTD Liability Company Agmt of Neospine Surgery LLC
- 3.41 Certificate of Formation of NSC Edmond, Inc
- 3.42 Bylaws of NSC Edmond, Inc
- 3.43 Cert of Form of Physicians Surgical Care MGMT, Inc
- 3.44 Bylaws of Physicians Surgical Care Management, Inc
- 3.45 4TH Amended and Restated Cert. of Incorp.
- 3.46 Amended and Restated Bylaws of Phys. Surgical Care
- 3.47 Cert. of Incorp. Premier Ambulatory Surgery
- 3.48 Bylaws Premier Ambulatory Surgery of Duncanville
- 3.49 Cert. of Formation of PSC Development Co. LLC
- 3.50 Limited Liability Co. Agree. of PSC Dev. Co. LLC
- 3.51 Cert. of Formation of PSC of New York, L.L.C.
- 3.52 Limited Liability Co. Agree. of PSC of New York
- 3.53 Cert. of Formation of PSC Operating Co. LLC
- 3.54 Limited Liability Co. Agree. of PSC Operating Co.
- 3.55 Exhibit 3.55
- 3.56 Limited Liability Co. Agree. of Quahog Holding Co.
- 3.57 Charter of Sarc/asheville, Inc.
- 3.58 Bylaws of Sarc/asheville, Inc.
- 3.59 Charter of Sarc/circleville, Inc.
- 3.60 Bylaws of Sarc/circleville, Inc.
- 3.61 Charter of Sarc/columbia, Inc.
- 3.62 Bylaws of Sarc/columbia, Inc.
- 3.63 Charter of Sarc/deland, Inc.
- 3.64 Bylaws of Sarc/deland, Inc.
- 3.65 Charter of Sarc/ft. Myers, Inc.
- 3.66 Bylaws of Sarc/ft. Myers, Inc.
- 3.67 Charter of Sarc/fw, Inc.
- 3.68 Bylaws of Sarc/fw, Inc.
- 3.69 Charter of Sarc/georgia, Inc.
- 3.70 Bylaws of Sarc/georgia, Inc.
- 3.71 Charter of Sarc/jacksonville, Inc.
- 3.72 Bylaws of Sarc/jacksonville, Inc.
- 3.73 Articles of Org Sarc/kent LLC
- 3.74 Operating Agreement of Sarc/kent
- 3.75 Charter of Sarc/knoxville, Inc.
- 3.76 Bylaws of Sarc/knoxville, Inc.
- 3.77 Charter of Sarc/largo Endoscopy
- 3.78 Bylaws of Sarc/largo Endoscopy
- 3.79 Charter of Sarc/largo, Inc.
- 3.80 Bylaws of Sarc/largo, Inc.
- 3.81 Charter of Sarc/metairie, Inc.
- 3.82 Bylaws of Sarc/metairie, Inc.
- 3.83 Art of Org. of Sarc/providence
- 3.84 Operating Agmt of Sarc/providence
- 3.85 Art. of Org. Sarc/san Antonio LLC
- 3.86 Operating Agmt of Sarc/san Antonio
- 3.87 Charter of Sarc/savanah, Inc.
- 3.88 Bylaws of Sarc/savanah, Inc.
- 3.89 Charter of Sarc/st. Charles, Inc.
- 3.90 Bylaws of Sarc/st. Charles, Inc.
- 3.91 Charter of Sarc/vincennes, Inc.
- 3.92 Bylaws of Sarc/vincennes, Inc.
- 3.93 Art. of Org. of Sarc/west Houston
- 3.94 Operating Agmt of Sarc/west Houston
- 3.95 Charter of Sarc/worcester, Inc.
- 3.96 Bylaws of Sarc/worcester, Inc.
- 3.97 Charter of Si/dry Creek, Inc.
- 3.98 Bylaws of Si/dry Creek, Inc.
- 3.99 Art. of Org of Smbi Havertown, LLC
- 3.100 Operating Agmt of Smbi Havertown
- 3.101 Art. of Org of Smbi Northstar, LLC
- 3.102 Operating Agmt of Smbi Northstar
- 3.103 Art. of Org of Smbi Ose
- 3.104 Operating Agmt of Smbi Ose
- 3.105 Art. of Org. of Smbi Portsmouth
- 3.106 Operating Agmt of Portsmouth
- 3.107 Art of Org. Smbims Kirkwood, LLC
- 3.108 Operating Agmt of Smbims Kirkwood
- 3.109 Art. of Org. of Smbims 119, LLC
- 3.110 Operating Agmt. of Smbims 119, LLC
- 3.111 Charter of Smbims Birmingham, Inc.
- 3.112 Bylaws of Smbims Birmingham, Inc.
- 3.113 Art. of Org. of Smbims Durango, LLC
- 3.114 Operating Agmt. of Smbims Durango
- 3.115 Art. of Org. of Smbims Elk River
- 3.116 Operating Agmt of Smbims Elk River
- 3.117 Art. of Org. of Smbims Florida I
- 3.118 Operating Agmt of Smbims Florida I
- 3.119 Art. of Org of Smbims Greenville
- 3.120 Operating Agmt of Smbims Greenville
- 3.121 Art. of Org. of Smbims Maple Grove
- 3.122 Operating Agmt of Smbims Maple Grove
- 3.123 Art. of Org of Smbims Novi, LLC
- 3.124 Operating Agmt. Smbims Novi, LLC
- 3.125 Art. of Org. Smbims Orange City
- 3.126 Operating Agmt of Smbims Orange City
- 3.127 Charter of Smbims Steubenville
- 3.128 Bylaws of Smbims Steubenville
- 3.129 Art. of Org. Smbims Tampa, Inc.
- 3.130 Operating Agmt. of Smbims Tampa
- 3.131 Art. of Org. Smbims Temple
- 3.132 Operating Agmt of Smbims Temple, LLC
- 3.133 Charter of Smbims Tuscaloosa, Inc
- 3.134 Bylaws of Smbims of Tuscalossa, Inc
- 3.135 Articles of Organization of Smbims of Wichita, LLC
- 3.136 Operating Agmt of Smbims of Wichita, LLC
- 3.137 Articles of Organization of Smbiss Arcadia, LLC
- 3.138 Operating Agreement of Smbiss, LLC
- 3.139 Articles of Organization of Smbiss Beverly Hills,
- 3.140 Operating Agreement of Smbiss Beverly Hills, LLC
- 3.141 Articles of Organization of Smbiss Chesterfield, L
- 3.142 Operating Agreement of Smbiss of Chesterfield, LLC
- 3.143 Articles of Organization of Smbiss Encino, LLC
- 3.144 Operating Agreement of Smbiss Encino, LLC
- 3.145 Articles of Organization of Smbiss Irvine, LLC
- 3.146 Operating Agreement of Smbiss Irvine
- 3.147 Articles of Organization of Smbiss Roswell
- 3.148 Operating Agreement of Smbiss Roswell, LLC
- 3.149 Articles of Organization of Sandy Springs, LLC
- 3.150 Operating Agreement of Smbiss Sandy Springs
- 3.151 Articles of Organization of Smbiss Thousand Oaks,
- 3.152 Operating Agreement of Smbiss Thousand Oaks, LLC
- 3.153 Articles of Incorp of Surgicare of Deland, Inc.
- 3.154 Bylaws of Surgicare of Deland, Inc.
- 3.155 Charter of Symbion Ambulatory Resource Centres, In
- 3.156 Bylaws of Symbion Ambulatory Resource Centres, Inc
- 3.157 Charter of Symbion Imaging, Inc.
- 3.158 Bylaws of Symbion Imaging, Inc.
- 3.159 Charter of Symbion Arc MGMT SVS, As Amend.
- 3.160 Bylaws of Symbionarc MGMT SVS, As Amend.
- 3.161 Art. of Org. Symbionarc Support SVS LLC
- 3.162 Operating Agmt of Symbionarc Support SVS
- 3.163 Articles of Inc./texarkana Surgery Center
- 3.164 Bylaws of Texarkana Surgery Center GP, Inc.
- 3.165 Charter of Uniphy Healthcare/eugene/springfield
- 3.166 Bylaws of Uniphy Healthcare/eugene/springfield
- 3.167 Art. of Org./uniphy Healthcare/johnson City VI,
- 3.168 Oper. Agmt/uniphy Healthcare/johnson City VI, LLC
- 3.169 Charter of Uniphy Healthcare of Louisville, Inc.
- 3.170 Bylaws of Uniphy Healthcare of Louisville, Inc.
- 3.171 Charter of Uniphy Healthcare of Maine I, Inc.
- 3.172 Bylaws of Uniphy Healthcare of Maine I, Inc.
- 3.173 Articles of Conversion of Uniphy Healthcare
- 3.174 Single Member Operating Agreement
- 3.175 Charter of Uniphy Healthcare of Memphis II, Inc.
- 3.176 Bylaws of Uniphy Healthcare of Memphis II, Inc.
- 3.177 Cert. of Form. of Uniphy Healthcare of Memphis II
- 3.178 Oper Agree of Uniphy Healthcare of Memphis III
- 3.179 Cert. of Form. of Uniphy Healthcare of Memphis IV
- 3.180 Oper. Agree. of Uniphy Healthcare of Memphis IV
- 3.181 Articles of Incorporation of Vasc, Inc.
- 3.182 Bylaws of Valley Ambulatory Surgery Center
- 3.183 Cert. of Incorporation of Village Surgicenter, Inc
- 3.184 Bylaws of Village Surgicenter, Inc.
- 3.185 Limited Liability Co. Agree. of Northstar Hospital
- 3.186 Certificate of Formation of Northstar Hospital
- 4.1 Symbion, Inc. Indenture Dated As of June 3, 2008
- 4.3 Registration Rights Agree Dated As of June 3, 2007
- 4.4 First Supplemental Indenture
- 5.1 Opinion of Waller Lansden Dortch
- 8.1 Tax Opinion of Waller Lansden Dortch
- 10.1 Employment Agree. Richard E. Francis JR.
- 10.2 Employment Agree. Clifford G. Adlerz
- 10.3 Credit Agreement Dated As of August 23, 2007
- 10.6 2007 Equity Incentive Plan
- 10.7 Symbion, Inc. Executive Change In Control Severanc
- 10.8 Compensatory Equity Participation Plan
- 10.9 Shareholders Agreement Dated As of Aug. 23, 2007
- 10.10 Advisory Services and Monitoring Agreement
- 10.11 Employee Contribution Agreement
- 12.1 Statement of Computation of Ratio of Earnings
- 21.1 Subsidiaries of the Registrant
- 23.2 Consent of E & Y
- 25.1 Statement on Form T-1 of U.S. Bank
- 99.1 Exhibit 99.1
- 99.2 Exhibit 99.2
- CORRESP Corresp
[Symbion, Inc. letterhead]
September 26, 2008
Securities and Exchange Commission
450 Fifth Street, N.W.
Judiciary Plaza
Washington, D.C. 20549
Re: Symbion, Inc. Registration Statement on Form S-4 filed on September 26, 2008
Ladies and Gentlemen:
This letter is to supplementally advise the Securities and Exchange Commission (the “Commission”) that Symbion, Inc. (the “Company”) is registering its exchange notes (the “Exchange Notes”), as described in the Registration Statement on Form S-4 filed with the Commission today (the “Registration Statement”), in reliance on the Commission’s position enunciated in Exxon Capital Holdings Corporation (available May 13, 1988), Morgan Stanley & Co., Inc. (available June 5, 1991), and Shearman & Stearling (available July 2, 1993). In addition, the Company represents as follows:
(A) The Company has not entered into any arrangement or understanding with any person to distribute the Exchange Notes to be received in the exchange offer and to the best of its information and belief, each person participating in the exchange offer is acquiring the Exchange Notes in the ordinary course of business and has no arrangement or understanding with any person to participate in the distribution of the Exchange Notes to be received in the exchange offer. In this regard, the Company will make each person participating in the exchange offer aware (through the exchange offer prospectus or otherwise) that if the exchange offer is being registered for the purpose of secondary resales, any securityholder using the exchange offer to participate in a distribution of the Exchange Notes to be acquired in the registered exchange offer (a) cannot rely on the Commission’s position enunciated in Exxon Capital, Morgan Stanley and Shearman & Stearling or other interpretative letters to similar effect and (b) must comply with registration and prospectus delivery requirements of the Securities Act of 1933, as amended (the “Securities Act”), in connection with a secondary resale transaction. The Company acknowledges that such a secondary resale transaction should be covered by an effective registration statement containing the selling securityholder information required by Item 507 of Regulation S-K.
(B) The Company will make each person participating in the exchange offer aware (through the exchange offer prospectus) that any broker-dealer who holds existing notes (the “Outstanding Notes”) acquired for its own account as a result of market-making activities or other trading activities, and who receives Exchange Notes in exchange for such Outstanding Notes pursuant to the exchange offer, may be a statutory underwriter and must deliver a prospectus meeting the requirements of the Securities Act in connection with any resale of such Exchange Notes.
(C) The transmittal letter or similar documentation to be executed by an exchange offeree will include a statement to the effect that, if the exchange offeree is a broker-dealer holding Outstanding Notes acquired for its own account as a result of market-making activities or other trading activities, an acknowledgment that it will deliver a prospectus meeting the requirements of the Securities Act in connection with any resale of Exchange Notes received in
respect of such Outstanding Notes pursuant to the exchange offer. The transmittal letter or similar documentation may also include a statement to the effect that by so acknowledging and by delivering a prospectus, a broker-dealer will not be deemed to admit that it is an “underwriter” within the meaning of the Securities Act.
If you have any questions or comments, please contact the undersigned at (615) 234-5916 or James H. Nixon III of Waller Lansden Dortch & Davis, LLP at (615) 850-8855.
| Sincerely, | |
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| SYMBION, INC. | |
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| By: | /s/ Teresa F. Sparks |
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| Teresa F. Sparks |
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| Senior Vice President of Financial and |
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| Chief Financial Officer |
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cc: James H. Nixon III, Esq. |
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