0001682316-16-000002.txt : 20160815 0001682316-16-000002.hdr.sgml : 20160815 20160815154702 ACCESSION NUMBER: 0001682316-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160815 DATE AS OF CHANGE: 20160815 EFFECTIVENESS DATE: 20160815 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Athens ASC Holdings, LLC CENTRAL INDEX KEY: 0001682316 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-268958 FILM NUMBER: 161832346 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 FORMER COMPANY: FORMER CONFORMED NAME: Surgery Center of Athens, LLC DATE OF NAME CHANGE: 20160815 D 1 primary_doc.xml X0707 D LIVE 0001682316 Athens ASC Holdings, LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL ALABAMA 35209 205-545-2734 DELAWARE Surgery Center of Athens, LLC Limited Liability Company true N/A SCA Athens, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Manager Andrew P. Hayek 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Joseph T. Clark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Richard L. Sharff, Jr. 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Michael Rucker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Thomas De Weerdt 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b false 2016-08-02 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 GA GEORGIA false 285000 171000 114000 false 3 0 0 0 false Athens ASC Holdings, LLC /s/ McCauley Williams McCauley Williams Attorney for Issuer 2016-08-15