0001499622-21-000001.txt : 20210209 0001499622-21-000001.hdr.sgml : 20210209 20210209130122 ACCESSION NUMBER: 0001499622-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210209 DATE AS OF CHANGE: 20210209 EFFECTIVENESS DATE: 20210209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North Dallas Surgical Center, LLC CENTRAL INDEX KEY: 0001499622 IRS NUMBER: 272248103 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-388892 FILM NUMBER: 21605126 BUSINESS ADDRESS: STREET 1: 17980 DALLAS PARKWAY, SUITE 100 CITY: DALLAS STATE: TX ZIP: 75287 BUSINESS PHONE: 682-236-6864 MAIL ADDRESS: STREET 1: 17980 DALLAS PARKWAY, SUITE 100 CITY: DALLAS STATE: TX ZIP: 75287 D 1 primary_doc.xml X0708 D LIVE 0001499622 North Dallas Surgical Center, LLC 17980 DALLAS PARKWAY, SUITE 100 DALLAS TX TEXAS 75287 682-236-6864 DELAWARE None None Limited Liability Company true Timothy Szott 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Director Member of Issuer's Board of Managers Joshua Floren 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Director Member of Issuer's Board of Managers Stephen Hadzima 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Director Member of Issuer's Board of Managers Nathan Gilbert 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Director Member of Issuer's Board of Managers Jeffrey Canose 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Executive Officer President Chip Zahn 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Executive Officer Vice president and secretary John Mitchell 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Executive Officer Vice president Rick McWhorter 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Executive Officer Treasurer Kwame Ennin 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Director Member of Issuer's Board of Managers Other Health Care Decline to Disclose 06b false 2021-01-27 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 192816 38563 154253 false 3 0 0 0 false North Dallas Surgical Center, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2021-02-09