0001478192-17-000002.txt : 20170306 0001478192-17-000002.hdr.sgml : 20170306 20170306095421 ACCESSION NUMBER: 0001478192-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20170306 DATE AS OF CHANGE: 20170306 EFFECTIVENESS DATE: 20170306 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gateway Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0001478192 IRS NUMBER: 202106989 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-281822 FILM NUMBER: 17666673 BUSINESS ADDRESS: STREET 1: 1025 NORTHEAST GATEWAY COURT, NE CITY: CONCORD STATE: NC ZIP: 28025 BUSINESS PHONE: 704-920-7027 MAIL ADDRESS: STREET 1: 1025 NORTHEAST GATEWAY COURT, NE CITY: CONCORD STATE: NC ZIP: 28025 D 1 primary_doc.xml X0707 D LIVE 0001478192 Gateway Ambulatory Surgery Center, LLC 1025 NORTHEAST GATEWAY COURT, NE CONCORD NC NORTH CAROLINA 28025 704-920-7027 NORTH CAROLINA None None Limited Liability Company true Bill Hubbard 920 Church Street Concord NC NORTH CAROLINA 28025 Executive Officer Director Francis Johns Langford 645 Amalia Street Concord NC NORTH CAROLINA 28025 Executive Officer Director Scott Gollinger 920 Church Street Concord NC NORTH CAROLINA 28025 Director Brian Moore 200 Medical Park Drive Suite 400 Concord NC NORTH CAROLINA 28025 Director James Skahen, III 345 Copperfield Boulevard Concord NC NORTH CAROLINA 28025 Director David Rhodes 1070 Vinehaven Drive, NE Concord NC NORTH CAROLINA 28025 Executive Officer Director Rodney Ball 920 Church Street Concord NC NORTH CAROLINA 28025 Director Robert Bashore 1025 Northeast Gateway Court, NE Concord NC NORTH CAROLINA 28025 Executive Officer Michelle Fortune 920 Church Street Concord NC NORTH CAROLINA 28025 Director William Goglin 1025 Northeast Gateway Court, NE Concord NC NORTH CAROLINA 28025 Executive Officer Hospitals and Physicians Decline to Disclose 06b 4a5 false 2017-02-23 false true false 1590000 1590000 1590000 0 false 1 0 0 252076 This represents payments received in their capacity as members. false Gateway Ambulatory Surgery Center, LLC FP Johns Langford, MD F.P. Johns Langford, MD President 2017-03-02