0001200058-21-000002.txt : 20211001 0001200058-21-000002.hdr.sgml : 20211001 20211001105405 ACCESSION NUMBER: 0001200058-21-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211001 DATE AS OF CHANGE: 20211001 EFFECTIVENESS DATE: 20211001 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA, LLC CENTRAL INDEX KEY: 0001200058 IRS NUMBER: 010723254 STATE OF INCORPORATION: GA FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-414522 FILM NUMBER: 211297622 BUSINESS ADDRESS: STREET 1: 5445 MERIDIAN MARK ROAD NE CITY: ATLANTA STATE: GA ZIP: 30342 BUSINESS PHONE: 404 785 5619 MAIL ADDRESS: STREET 1: 5445 MERIDIAN MARK ROAD NE CITY: ATLANTA STATE: GA ZIP: 30342 FORMER COMPANY: FORMER CONFORMED NAME: CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN M DATE OF NAME CHANGE: 20021021 D/A 1 primary_doc.xml X0708 D/A LIVE 0001200058 CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA, LLC 5445 MERIDIAN MARK ROAD NE ATLANTA GA GEORGIA 30342 404 785 5619 GEORGIA CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN M Limited Liability Company true Richard Bonner 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Executive Officer Director Manager and Chairperson Jim Fortenberry 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Director Manager Ron Frieson 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Director Manager Mike Busch 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Director Manager Ruth Fowler 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Director Manager Hal Scherz 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Director Manager Linda Cole 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Executive Officer Director Manager and Vice Chairperson Jim Thomsen 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Director Manager Lyn Zahnow 5445 Meridian Park Road NE Atlanta GA GEORGIA 30342 Executive Officer Director Secretary and Treasurer ex-officio Other Health Care Decline to Disclose 06b true 0001200058-21-000001 2021-09-14 false true false 124250 1491000 1491000 0 true 0 11 0 0 0 false CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA, LLC /s/ Lyn Zahnow Lyn Zahnow Secretary and Treasurer 2021-10-01