0001463790-19-000003.txt : 20190327 0001463790-19-000003.hdr.sgml : 20190327 20190327121320 ACCESSION NUMBER: 0001463790-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190327 DATE AS OF CHANGE: 20190327 EFFECTIVENESS DATE: 20190327 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgical Caregivers of Fort Worth, LLC CENTRAL INDEX KEY: 0001463790 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-335779 FILM NUMBER: 19707575 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 8178774777 MAIL ADDRESS: STREET 1: 2001 W. ROSEDALE STREET CITY: FORT WORTH STATE: TX ZIP: 76104 FORMER COMPANY: FORMER CONFORMED NAME: Surgical Caregivers of Fort Worth, L.P. DATE OF NAME CHANGE: 20090508 D 1 primary_doc.xml X0708 D LIVE 0001463790 Surgical Caregivers of Fort Worth, LLC 2001 W. Rosedale Fort Worth TX TEXAS 76104 817-877-4777 TEXAS Surgical Caregivers of Fort Worth, L.P. Limited Liability Company true Timothy Szott 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Michael Thornsberry 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Joseph DeLeon 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Theodore Margo 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Member of the Board of Managers William Van Wyk 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Jeffrey Canose 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer President Chip Zahn 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer Vice President and Secretary John Mitchell 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer Vice President Rick McWhorter 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer Treasurer Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 92312 0 92312 false 0 0 0 0 false Surgical Caregivers of Fort Worth, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2019-03-27