0001634486-24-000001.txt : 20240122 0001634486-24-000001.hdr.sgml : 20240122 20240122093032 ACCESSION NUMBER: 0001634486-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240122 DATE AS OF CHANGE: 20240122 EFFECTIVENESS DATE: 20240122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KU MedWest Ambulatory Surgery Center, L.L.C. CENTRAL INDEX KEY: 0001634486 ORGANIZATION NAME: IRS NUMBER: 020664568 STATE OF INCORPORATION: KS FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-503019 FILM NUMBER: 24547276 BUSINESS ADDRESS: STREET 1: 7405 RENNER ROAD CITY: SHAWNEE STATE: KS ZIP: 66217 BUSINESS PHONE: (913) 588-8403 MAIL ADDRESS: STREET 1: 7405 RENNER ROAD CITY: SHAWNEE STATE: KS ZIP: 66217 D 1 primary_doc.xml X0708 D LIVE 0001634486 KU MedWest Ambulatory Surgery Center, L.L.C. 7405 RENNER ROAD SHAWNEE KS KANSAS 66217 (913) 588-8403 KANSAS None None Limited Liability Company true David Grantham 7405 Renner Road Shawnee KS KANSAS 66217 Executive Officer Administrator J. David Kriet 7405 Renner Road Shawnee KS KANSAS 66217 Executive Officer Director Member of Board of Managers Mojtaba Olyaee 7405 Renner Road Shawnee KS KANSAS 66217 Executive Officer Director Member of Board of Managers Dawood Sayed 7405 Renner Road Shawnee KS KANSAS 66217 Executive Officer Director Member of Board of Managers Brenda Dykstra 7405 Renner Road Shawnee KS KANSAS 66217 Executive Officer Director Member of Board of Managers Jeff Andersen 7405 Renner Road Shawnee KS KANSAS 66217 Executive Officer Director Member of Board of Managers --- University of Kansas Hospital Authority 4000 Cambridge Street MS 3011 Kansas City KS KANSAS 66160 Promoter Majority owner Jack Beal 7405 Renner Road Shawnee KS KANSAS 66217 Director Member of Board of Managers Sean C. Kumer 7405 Renner Road Shawnee KS KANSAS 66217 Director Member of Board of Managers Hospitals and Physicians Decline to Disclose 06b false 2024-01-08 false true false 147544 5901760 5901760 0 false 32 0 0 0 true false KU MedWest Ambulatory Surgery Center, L.L.C. David Grantham David Grantham Administrator 2024-01-19