0001646186-15-000001.txt : 20150701 0001646186-15-000001.hdr.sgml : 20150701 20150630193827 ACCESSION NUMBER: 0001646186-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150701 DATE AS OF CHANGE: 20150630 EFFECTIVENESS DATE: 20150701 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wilson Surgery Center, LLC CENTRAL INDEX KEY: 0001646186 IRS NUMBER: 000000000 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-242857 FILM NUMBER: 15962823 BUSINESS ADDRESS: STREET 1: 1709 MEDICAL PARK DRIVE WEST CITY: WILSON STATE: NC ZIP: 27893 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 509 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35029 D 1 primary_doc.xml X0707 D LIVE 0001646186 Wilson Surgery Center, LLC 1709 MEDICAL PARK DRIVE WEST WILSON NC NORTH CAROLINA 27893 205-545-2734 NORTH CAROLINA None None Limited Liability Company true Andrew Hayek 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Joseph Clark 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Peter Clemens 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer N/A N/A SCA-Wilson, LLC 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Manager Michael Rucker 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 0 SCA Development, LLC None None None 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 AL ALABAMA NC NORTH CAROLINA false 275000 0 275000 false 0 0 0 0 false Wilson Surgery Center, LLC /s/ McCauley Williams McCauley Williams Attorney for Issuer 2015-06-30