0001651412-23-000001.txt : 20230627 0001651412-23-000001.hdr.sgml : 20230627 20230627122752 ACCESSION NUMBER: 0001651412-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230627 DATE AS OF CHANGE: 20230627 EFFECTIVENESS DATE: 20230627 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: 021-485234 FILM NUMBER: 231045271 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 Timothy Yuckman 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Member of Board of Managers Armin Rahmanian 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Member of Board of Managers Keith LaDu, DO 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Member of Board of Managers Stephen Glatz, MD 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Member of Board of Managers Haruko Okada, MD 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Member of Board of Managers Brian McCallister 5005 Parkcenter Avenue Dublin OH OHIO 43017 Director Member of Board of Managers Other Health Care Decline to Disclose 06b false 2023-06-20 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 OH OHIO false 40000 40000 0 false 1 0 0 0 false Dublin Surgery Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-06-27