0001669314-17-000002.txt : 20171017 0001669314-17-000002.hdr.sgml : 20171017 20171017154110 ACCESSION NUMBER: 0001669314-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20171017 DATE AS OF CHANGE: 20171017 EFFECTIVENESS DATE: 20171017 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HealthEast Surgery Center-Maplewood, LLC CENTRAL INDEX KEY: 0001669314 IRS NUMBER: 203349887 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296882 FILM NUMBER: 171140699 BUSINESS ADDRESS: STREET 1: 1700 UNIVERSITY AVENUE W. CITY: ST. PAUL STATE: MN ZIP: 55104 BUSINESS PHONE: (920) 738-2000 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 0001669314 HealthEast Surgery Center-Maplewood, LLC 1655 Beam Ave. Suite 100 Maplewood MN MINNESOTA 55109 651-232-7780 MINNESOTA None None Limited Liability Company true Peter Kelly 1655 Beam Ave. Suite 100 Maplewood MN MINNESOTA 55109 Executive Officer Director Member of the Management Board. Diane Ogren 1655 Beam Ave. Suite 100 Maplewood MN MINNESOTA 55109 Executive Officer Director Member of the Management Board. Brian Gager 1655 Beam Ave. Suite 100 Maplewood MN MINNESOTA 55109 Executive Officer Director Member of the Management Board. Melvin Ashford 1655 Beam Ave. Suite Maplewood MN MINNESOTA 55109 Executive Officer Director Member of the Management Board. Dawn Ksepka 1655 Beam Ave. Suite 100 Maplewood MN MINNESOTA 55109 Executive Officer Director Member of the Management Board. Michael Miller 1655 Beam Ave. Suite 100 Maplewood MN MINNESOTA 55109 Executive Officer Director Member of the Management Board. Other Health Care Decline to Disclose 04 false 2017-10-03 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 MN MINNESOTA false 1664000 416000 1248000 true 1 5 0 0 0 false HealthEast Surgery Center-Maplewood, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2017-10-17