0001660476-21-000001.txt : 20211118 0001660476-21-000001.hdr.sgml : 20211118 20211118111937 ACCESSION NUMBER: 0001660476-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211118 DATE AS OF CHANGE: 20211118 EFFECTIVENESS DATE: 20211118 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Alliance Surgical Center, LLC CENTRAL INDEX KEY: 0001660476 IRS NUMBER: 271367127 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-421608 FILM NUMBER: 211423023 BUSINESS ADDRESS: STREET 1: 917 RINEHART ROAD, SUITE 1001 CITY: LAKE MARY STATE: FL ZIP: 32703 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 FORMER COMPANY: FORMER CONFORMED NAME: Alliance Surgery Center, LLC DATE OF NAME CHANGE: 20151209 D 1 primary_doc.xml X0708 D LIVE 0001660476 Alliance Surgical Center, LLC 917 RINEHART ROAD SUITE 1001 LAKE MARY FL FLORIDA 32746 205-545-2734 FLORIDA Alliance Surgery Center, LLC Limited Liability Company true Nicole Johanson 917 Rinehart Road Suite 1001 Lake Mary FL FLORIDA 32746 Executive Officer Director Brad Hillmon 917 Rinehart Road Suite 1001 Lake Mary FL FLORIDA 32746 Executive Officer Director Andrew Sparks 917 Rinehart Road Suite 1001 Lake Mary FL FLORIDA 32746 Executive Officer Director Mike Mazeres 917 Rinehart Road Suite 1001 Lake Mary FL FLORIDA 32746 Executive Officer Kal Gaddipatti 917 Rinehart Road Suite 1001 Lake Mary FL FLORIDA 32746 Director William David 917 Rinehart Road Suite 1001 Lake Mary FL FLORIDA 32746 Director Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 18000 0 18000 false 0 0 0 0 false Alliance Surgical Center, LLC Meagan Jones Meagan Jones Attorney for Issuer 2021-11-18