0001499622-21-000002.txt : 20210721 0001499622-21-000002.hdr.sgml : 20210721 20210721135226 ACCESSION NUMBER: 0001499622-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210721 DATE AS OF CHANGE: 20210721 EFFECTIVENESS DATE: 20210721 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: 021-407139 FILM NUMBER: 211104092 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 Stephen Hadzima 17980 Dallas Parkway Suite 100 Dallas TX TEXAS 75287 Director Member of Issuer's Board of Managers Kwame Ennin 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 Joshua Floren 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 & Secretary John Timothy 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 Other Health Care Decline to Disclose 06b false 2021-07-20 false true false 0 n/a None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 187846 20871 166975 false 1 0 0 0 false North Dallas Surgical Center, LLC Victoria Young Victoria Young Attorney for Issuer 2021-07-21