0001699232-19-000001.txt : 20190305 0001699232-19-000001.hdr.sgml : 20190305 20190305163118 ACCESSION NUMBER: 0001699232-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190305 DATE AS OF CHANGE: 20190305 EFFECTIVENESS DATE: 20190305 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sand Lake SurgiCenter, LLC CENTRAL INDEX KEY: 0001699232 IRS NUMBER: 000000000 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-334113 FILM NUMBER: 19658871 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 0001699232 Sand Lake SurgiCenter, LLC 7477 Sandlake Commons Blvd. Orlando FL FLORIDA 32819 407-264-9633 FLORIDA None None Limited Liability Company true N/A SCA-Sand Lake, LLC 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 116360 0 116360 false 0 0 0 116360 Payment to Issuer's managing member false Sand Lake SurgiCenter, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2019-03-05