0001463790-21-000001.txt : 20210106 0001463790-21-000001.hdr.sgml : 20210106 20210105181824 ACCESSION NUMBER: 0001463790-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210105 EFFECTIVENESS DATE: 20210106 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: 021-385334 FILM NUMBER: 21507838 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 ST. FORT WORTH TX TEXAS 76104 8178774777 TEXAS Surgical Caregivers of Fort Worth, L.P. Limited Liability Company true Timothy Szott 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Michael Thornsberry 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Joseph DeLeon 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Theodore Margo 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Director Member of the Board of Managers William Van Wyk 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Director Member of the Board of Managers Jeffrey Canose 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Executive Officer President Chip Zahn 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Executive Officer Vice President and Secretary John Mitchell 2001 W. Rosedale St. Fort Worth TX TEXAS 76104 Executive Officer Vice President Rick McWhorter 2001 W. Rosedale St. 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 1003037 0 1003037 false 0 0 0 0 false Surgical Caregivers of Fort Worth, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2021-01-05