0001665921-19-000001.txt : 20190214 0001665921-19-000001.hdr.sgml : 20190214 20190214163649 ACCESSION NUMBER: 0001665921-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190214 DATE AS OF CHANGE: 20190214 EFFECTIVENESS DATE: 20190214 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgical Care Partners of Melbourne, LLC CENTRAL INDEX KEY: 0001665921 IRS NUMBER: 462971080 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-332903 FILM NUMBER: 19607291 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 D 1 primary_doc.xml X0708 D LIVE 0001665921 Surgical Care Partners of Melbourne, LLC 95 Bulldog Blvd. SUITE 104 Melbourne FL FLORIDA 32901 321-729-9493 DELAWARE None None Limited Liability Company true N/A SHC Melbourne, Inc. 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Issuer's managing member Ladd W. Mark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice president of Issuer's managing member Neil P. Walker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice president of Issuer's managing member Jordan Jones 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer President of Issuer's managing member 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 576000 0 576000 false 0 0 0 576000 Payment to Issuer's managing member false Surgical Care Partners of Melbourne, LLC /s/ Cade Morgan Cade Morgan Attorney for the Issuer 2019-02-14