0001129397-22-000006.txt : 20220622
0001129397-22-000006.hdr.sgml : 20220622
20220622111142
ACCESSION NUMBER: 0001129397-22-000006
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii))
FILED AS OF DATE: 20220622
DATE AS OF CHANGE: 20220622
EFFECTIVENESS DATE: 20220622
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER, L.L.C.
CENTRAL INDEX KEY: 0001129397
IRS NUMBER: 364437931
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-449875
FILM NUMBER: 221030730
BUSINESS ADDRESS:
STREET 1: 18200 SOUTH LA GRANGE ROAD
CITY: TINLEY PARK
STATE: IL
ZIP: 60487
BUSINESS PHONE: 17085702490
MAIL ADDRESS:
STREET 1: 18200 SOUTH LA GRANGE ROAD
CITY: TINLEY PARK
STATE: IL
ZIP: 60487
FORMER COMPANY:
FORMER CONFORMED NAME: ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC
DATE OF NAME CHANGE: 20001205
D
1
primary_doc.xml
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0001129397
ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER, L.L.C.
18200 SOUTH LA GRANGE ROAD
TINLEY PARK
IL
ILLINOIS
60487
17085702490
ILLINOIS
ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC
Limited Liability Company
true
Deb
Gardiner
18200 South La Grange Road
Tinley Park
IL
ILLINOIS
60487
Director
Board Member
Tara
Jeschke
18200 South La Grange Road
Tinley Park
IL
ILLINOIS
60487
Director
Board Member
Rolla
Sweis
18200 South La Grange Road
Tinley Park
IL
ILLINOIS
60487
Director
Board Member
Silvio
Marra, MD
18200 South La Grange Road
Tinley Park
IL
ILLINOIS
60487
Executive Officer
Director
Board Member, President and Treasurer
Seth
Kaplan, MD
18200 South La Grange Road
Tinley Park
IL
ILLINOIS
60487
Director
Board Member
Michael
DeVito, DPM
18200 South La Grange Road
Tinley Park
IL
ILLINOIS
60487
Executive Officer
Board Member
Lawrence
Boysen, MD
18200 South La Grange Road
Tinley Park
IL
ILLINOIS
60487
Executive Officer
Director
Board Member, Vice President and Secretary
Other Health Care
Decline to Disclose
- 04
false
true
false
true
false
0
N/A
None
SCA Development, LLC
35451
569 Brookwood Village
Suite 901
Birmingham
AL
ALABAMA
35209
IL
ILLINOIS
false
193200
0
193200
true
0
0
0
0
0
false
ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER, L.L.C.
/s/ Meagan O. Jones
Meagan O. Jones
Attorney for Issuer
2022-06-22