0001076722-19-000004.txt : 20190801 0001076722-19-000004.hdr.sgml : 20190801 20190801173048 ACCESSION NUMBER: 0001076722-19-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190801 DATE AS OF CHANGE: 20190801 EFFECTIVENESS DATE: 20190801 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AUDUBON AMBULATORY SURGERY CENTER LLC CENTRAL INDEX KEY: 0001076722 IRS NUMBER: 000000000 STATE OF INCORPORATION: CO FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-345647 FILM NUMBER: 19993728 BUSINESS ADDRESS: STREET 1: 3204 N ACADEMY BLVD STREET 2: 200 CITY: COLORADO SPRINGS STATE: CO ZIP: 80917 BUSINESS PHONE: 719-867-7500 MAIL ADDRESS: STREET 1: 3030 N. CIRCLE DRIVE CITY: COLORADO SPRINGS STATE: CO ZIP: 80909 D 1 primary_doc.xml X0708 D LIVE 0001076722 AUDUBON AMBULATORY SURGERY CENTER LLC 3030 N. Circle Drive Suite 101 COLORADO SPRINGS CO COLORADO 80909 719-867-7500 COLORADO Audobon Ambulatory Surgery Center, LLC None Limited Liability Company true Michael Simpson, M.D. 3030 N. Circle Drive Suite 101 COLORADO SPRINGS CO COLORADO 80909 Executive Officer Director President and Manager Gary Alex Simpson, D.O. 3030 N. Circle Drive Suite 101 COLORADO SPRINGS CO COLORADO 80909 Executive Officer Manager Peter Zimmer, M.D. 3030 N. Circle Drive Suite 101 COLORADO SPRINGS CO COLORADO 80909 Executive Officer Manager Geoffrey Donner 3030 N. Circle Drive Suite 101 COLORADO SPRINGS CO COLORADO 80909 Executive Officer Manager Hospitals and Physicians Decline to Disclose 06b false 2019-07-03 false true true Class B Units of limited liability company interests ("Class B Units") true 0 528000 528000 0 false 6 0 0 0 false AUDUBON AMBULATORY SURGERY CENTER LLC /s/ Michael Simpson, M.D. Michael Simpson, M.D. President 2019-08-01