0001704463-17-000002.txt : 20170808 0001704463-17-000002.hdr.sgml : 20170808 20170808165902 ACCESSION NUMBER: 0001704463-17-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170808 DATE AS OF CHANGE: 20170808 EFFECTIVENESS DATE: 20170808 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Specialty Surgical Center, LLC/NJ CENTRAL INDEX KEY: 0001704463 IRS NUMBER: 000000000 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-285276 FILM NUMBER: 171015528 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/A 1 primary_doc.xml X0708 D/A LIVE 0001704463 Specialty Surgical Center, LLC/NJ 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL ALABAMA 35209 205-545-2734 NEW JERSEY None None Limited Liability Company true N/A SCA-Sparta, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Majority Member 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 A. Rucker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Tom De Weerdt 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 06b true 0001704463-17-000001 2017-04-07 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 NJ NEW JERSEY false 419439 419439 0 false 2 0 0 0 false Specialty Surgical Center, LLC/NJ /s/ Richard L. Sharff, Jr Richard L. Sharff, Jr VP of Majority Member 2017-08-08