0001682316-16-000005.txt : 20160915 0001682316-16-000005.hdr.sgml : 20160915 20160914182034 ACCESSION NUMBER: 0001682316-16-000005 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20160915 DATE AS OF CHANGE: 20160914 EFFECTIVENESS DATE: 20160915 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-268958 FILM NUMBER: 161885978 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/A 1 primary_doc.xml X0707 D/A 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 04 true 0001682316-16-000002 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 570000 228000 342000 false 4 0 0 0 false Athens ASC Holdings, LLC /s/ Richard Sharff, Jr. Richard Sharff, Jr. VP of Manager 2016-09-14