0001439649-23-000005.txt : 20230823 0001439649-23-000005.hdr.sgml : 20230823 20230823153347 ACCESSION NUMBER: 0001439649-23-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230823 DATE AS OF CHANGE: 20230823 EFFECTIVENESS DATE: 20230823 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SHELBY BAPTIST AMBULATORY SURGERY CENTER, LLC CENTRAL INDEX KEY: 0001439649 IRS NUMBER: 203150946 STATE OF INCORPORATION: AL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-490509 FILM NUMBER: 231197423 BUSINESS ADDRESS: STREET 1: 1010 FIRST STREET NORTH CITY: ALABASTER STATE: AL ZIP: 35007 BUSINESS PHONE: 205-620-8400 MAIL ADDRESS: STREET 1: 1010 FIRST STREET NORTH CITY: ALABASTER STATE: AL ZIP: 35007 FORMER COMPANY: FORMER CONFORMED NAME: SHELBY BAPTIST AMBULATORY SURGERY CENTER LLC DATE OF NAME CHANGE: 20080710 D 1 primary_doc.xml X0708 D LIVE 0001439649 SHELBY BAPTIST AMBULATORY SURGERY CENTER, LLC 1010 FIRST STREET NORTH Suite 140 ALABASTER AL ALABAMA 35007 205-620-8400 ALABAMA SHELBY BAPTIST AMBULATORY SURGERY CENTER LLC Limited Liability Company true Holly Dean c/o Shelby Baptist Ambulatory Surgery 1010 First Street North, Suite 140 Alabaster AL ALABAMA 35007 Director Zach Abercrombie c/o Shelby Baptist Ambulatory Surgery 1010 First Street North, Suite 140 Alabaster AL ALABAMA 35007 Director Patrick L. Mills, Jr. c/o Shelby Baptist Ambulatory Surgery 1010 First Street North, Suite 140 Alabaster AL ALABAMA 35007 Director John Day c/o Shelby Baptist Ambulatory Surgery 1010 First Street North, Suite 140 Alabaster AL ALABAMA 35007 Director James Head c/o Shelby Baptist Ambulatory Surgery 1010 First Street North, Suite 140 Alabaster AL ALABAMA 35007 Director Other Health Care Decline to Disclose 06b false 2023-07-07 false true false 0 22000 22000 0 false 1 0 0 0 false SHELBY BAPTIST AMBULATORY SURGERY CENTER, LLC /s/ William Hightower William Hightower Executive Director 2023-08-23