0001646186-17-000001.txt : 20170427 0001646186-17-000001.hdr.sgml : 20170427 20170427165918 ACCESSION NUMBER: 0001646186-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170427 DATE AS OF CHANGE: 20170427 EFFECTIVENESS DATE: 20170427 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: 021-285662 FILM NUMBER: 17790018 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 N/A SCA-Wilson, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Manager Andrew P. Hayek 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Joseph T. Clark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Richard L. Sharff, Jr. 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Michael A. Rucker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Tom De Weerdt 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b false 2017-04-19 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 NC NORTH CAROLINA false 15750 13443 2307 false 1 0 0 0 false Wilson Surgery Center, LLC /s/ McCauley Williams McCauley Williams Attorney for Issuer 2017-04-27