0001610198-14-000001.txt : 20140616
0001610198-14-000001.hdr.sgml : 20140616
20140616133948
ACCESSION NUMBER: 0001610198-14-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20140616
DATE AS OF CHANGE: 20140616
EFFECTIVENESS DATE: 20140616
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Southeastern Ambulatory Surgery Center, LLC
CENTRAL INDEX KEY: 0001610198
IRS NUMBER: 452413077
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-219253
FILM NUMBER: 14922362
BUSINESS ADDRESS:
STREET 1: 4901 DAWN DRIVE
CITY: LUMBERTON
STATE: NC
ZIP: 28360
BUSINESS PHONE: 910-671-5810
MAIL ADDRESS:
STREET 1: 4901 DAWN DRIVE
CITY: LUMBERTON
STATE: NC
ZIP: 28360
D
1
primary_doc.xml
X0707
D
LIVE
0001610198
Southeastern Ambulatory Surgery Center, LLC
4901 DAWN DRIVE
LUMBERTON
NC
NORTH CAROLINA
28360
910-671-5810
NORTH CAROLINA
None
None
Limited Liability Company
true
2011
Jeff
Campbell
300 West 27th Street
Lumberton
NC
NORTH CAROLINA
28358
Director
David
Dalsimer
300 West 27th Street
Lumberton
NC
NORTH CAROLINA
28358
Director
Thomas
Johnson
300 West 27th Street
Lumberton
NC
NORTH CAROLINA
28358
Director
Michael
Kidd
300 West 27th Street
Lumberton
NC
NORTH CAROLINA
28358
Director
David
Sumner
300 West 27th Street
Lumberton
NC
NORTH CAROLINA
28358
Director
Lynn
Wieties
300 West 27th Street
Lumberton
NC
NORTH CAROLINA
28358
Director
Other Health Care
Decline to Disclose
- 06b
false
2014-01-01
false
true
false
7500
1500000
1500000
0
false
0
0
0
0
false
Southeastern Ambulatory Surgery Center, LLC
Lynn Wieties
Lynn Wieties
Secretary
2014-05-20