0001656272-21-000002.txt : 20210312 0001656272-21-000002.hdr.sgml : 20210312 20210312104858 ACCESSION NUMBER: 0001656272-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210312 DATE AS OF CHANGE: 20210312 EFFECTIVENESS DATE: 20210312 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Advocate Condell Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0001656272 IRS NUMBER: 475337115 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-392040 FILM NUMBER: 21735892 BUSINESS ADDRESS: STREET 1: 825 S. MILWAUKEE AVE. CITY: LIBERTYVILLE STATE: IL ZIP: 60048 BUSINESS PHONE: (205) 545-2734 MAIL ADDRESS: STREET 1: 825 S. MILWAUKEE AVE. CITY: LIBERTYVILLE STATE: IL ZIP: 60048 D 1 primary_doc.xml X0708 D LIVE 0001656272 Advocate Condell Ambulatory Surgery Center, LLC 825 S. MILWAUKEE AVE. LIBERTYVILLE IL ILLINOIS 60048 (205) 545-2734 ILLINOIS None None Limited Liability Company true Matt Primack 825 S. Milwaukee Avenue Libertyville IL ILLINOIS 60048 Director Member of Issuer's Board of Managers David Cartwright 825 S. Milwaukee Avenue Libertyville IL ILLINOIS 60048 Director Member of Issuer's Board of Managers LuAnn Prephan 825 S. Milwaukee Avenue Libertyville IL ILLINOIS 60048 Director Member of Issuer's Board of Managers Ryan Brown 825 S. Milwaukee Avenue Libertyville IL ILLINOIS 60048 Director Member of Issuer's Board of Managers Juan Alzate 825 S. Milwaukee Avenue Libertyville IL ILLINOIS 60048 Director Member of Issuer's Board of Managers Justin Cohen 825 S. Milwaukee Avenue Libertyville IL ILLINOIS 60048 Director Member of Issuer's Board of Managers Amit Parikh 825 S. Milwaukee Avenue Libertyville IL ILLINOIS 60048 Director Member of Issuer's Board of Managers Other Health Care Decline to Disclose 06b false 2021-02-26 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 IL ILLINOIS false 573390 498375 75015 false 2 0 0 0 false Advocate Condell Ambulatory Surgery Center, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2021-03-12