0001651412-18-000001.txt : 20180202 0001651412-18-000001.hdr.sgml : 20180202 20180202150238 ACCESSION NUMBER: 0001651412-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180202 DATE AS OF CHANGE: 20180202 EFFECTIVENESS DATE: 20180202 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: 021-304733 FILM NUMBER: 18570264 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 X0708 D LIVE 0001651412 Dublin Surgery Center, LLC 5005 PARKCENTER AVENUE DUBLIN OH OHIO 43017 614-932-9548 OHIO None None Limited Liability Company true N/A SCA-Dublin, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Manager of issuer. Richard L. Sharff, Jr. 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Andrew P. Hayek 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Cory Roberts 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Broodwood Village Suite 901 Birmingham AL ALABAMA 35209 OH OHIO false 330000 0 330000 false 0 0 0 0 false Dublin Surgery Center, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2018-02-02