0001651412-15-000001.txt : 20150825 0001651412-15-000001.hdr.sgml : 20150825 20150825151328 ACCESSION NUMBER: 0001651412-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150825 DATE AS OF CHANGE: 20150825 EFFECTIVENESS DATE: 20150825 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dublin Surgery Center, LLC CENTRAL INDEX KEY: 0001651412 IRS NUMBER: 272103713 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-246406 FILM NUMBER: 151073000 BUSINESS ADDRESS: STREET 1: 5005 PARKCENTER AVENUE CITY: DUBLIN STATE: OH ZIP: 43017 BUSINESS PHONE: 614-932-9548 MAIL ADDRESS: STREET 1: 5005 PARKCENTER AVENUE CITY: DUBLIN STATE: OH ZIP: 43017 D 1 primary_doc.xml X0707 D LIVE 0001651412 Dublin Surgery Center, LLC 5005 PARKCENTER AVENUE DUBLIN OH OHIO 43017 614-932-9548 OHIO None None Limited Liability Company true 2010 Jeffrey Hutchison, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Executive Officer Director Roger G. Amigo, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Keith LaDu, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Scott Barkin, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Eric Lothes, MD 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director David Buchan, DPM 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Richard F. Maier, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Edward Chen, MD 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director David Reed, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director William Emlich, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director George Rutan, DPM 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Rafael Villalobos, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director 401K Plan f/b/o Samuel D. Westenskow, DO Doctors Anesthesia Service of Columbus Inc. 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Thomas Bombardier, MD 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director 401K Plan f/b/o Brett Wheeler, MD Doctors Anesthesia Service of Columbus Inc. 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Other Health Care Decline to Disclose 06b false 2015-07-27 false true false 0 114102 114102 0 false 2 0 0 0 false Dublin Surgery Center, LLC /s/ Jeffrey D. Hutchison, D.O. Jeffrey D. Hutchison, D.O. President 2015-08-25