0001200058-24-000001.txt : 20241209 0001200058-24-000001.hdr.sgml : 20241209 20241209110407 ACCESSION NUMBER: 0001200058-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241209 DATE AS OF CHANGE: 20241209 EFFECTIVENESS DATE: 20241209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA, LLC CENTRAL INDEX KEY: 0001200058 ORGANIZATION NAME: IRS NUMBER: 010723254 STATE OF INCORPORATION: GA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-531453 FILM NUMBER: 241534257 BUSINESS ADDRESS: STREET 1: 5445 MERIDIAN MARK ROAD NE CITY: ATLANTA STATE: GA ZIP: 30342 BUSINESS PHONE: 404-785-0257 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 1 primary_doc.xml X0708 D LIVE 0001200058 CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA, LLC 5445 MERIDIAN MARK ROAD NE ATLANTA GA GEORGIA 30342 404-785-0257 GEORGIA CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN M Limited Liability Company true Tom Morris 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Director Manager Jim Fortenberry 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Executive Officer Director Manager and Chairperson Mike Busch 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Director Manager Hal Scherz 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Director Manager Jill Wilson 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Executive Officer Director Manager and Vice Chairperson Jim Thomsen 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Director Manager Kelly Maller 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Executive Officer Director Secretary and Treasurer ex-officio Ruth Fowler 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Director Manager Ron Frieson 5445 Meridian Park Road NE Suite 340 Atlanta GA GEORGIA 30342 Director Manager Other Health Care Decline to Disclose 06b false 2024-11-25 false true false 119550 119550 119550 0 false 1 0 0 0 false CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA, LLC Kelly Maller Kelly Maller Secretary and Treasurer ex-officio 2024-12-09