0001665921-21-000001.txt : 20210106 0001665921-21-000001.hdr.sgml : 20210106 20210106134601 ACCESSION NUMBER: 0001665921-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210106 EFFECTIVENESS DATE: 20210106 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: 021-385394 FILM NUMBER: 21509902 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 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL ALABAMA 35209 205-545-2734 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 127500 0 127500 false 0 0 0 127500 All proceeds will be used to redeem equity held by the Managing Member. false Surgical Care Partners of Melbourne, LLC /s/ Nathan Simpson Nathan Simpson Attorney for the Issuer 2021-01-06