0001699232-19-000003.txt : 20190813 0001699232-19-000003.hdr.sgml : 20190813 20190813122214 ACCESSION NUMBER: 0001699232-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190813 DATE AS OF CHANGE: 20190813 EFFECTIVENESS DATE: 20190813 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: 021-346417 FILM NUMBER: 191019265 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 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL ALABAMA 35209 205-545-2734 FLORIDA None None Limited Liability Company true Ladd W. Mark 569 Brookwood Village Birmingham AL ALABAMA 35209 Executive Officer VP of Managing Member Neil P. Walker 569 Brookwood Village Birmingham AL ALABAMA 35209 Executive Officer VP of Managing Member Jordan Jones 569 Brookwood Village Birmingham AL ALABAMA 35209 Executive Officer VP of Managing Member N/A SCA-Sand Lake, LLC 569 Brookwood Village Birmingham AL ALABAMA 35209 Promoter Managing Member of Issuer Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Birmingham AL ALABAMA 35209 FL FLORIDA false 80000 0 80000 false 0 0 0 80000 Offering proceeds will be used to redeem equity from Managing Member false Sand Lake SurgiCenter, LLC Jackie Prester Jackie Prester Attorney for Issuer 2019-08-13