0001704463-18-000001.txt : 20180322 0001704463-18-000001.hdr.sgml : 20180322 20180322104403 ACCESSION NUMBER: 0001704463-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180322 DATE AS OF CHANGE: 20180322 EFFECTIVENESS DATE: 20180322 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-308344 FILM NUMBER: 18705999 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 0001704463 Specialty Surgical Center, LLC/NJ 380 Lafayette Rd. Suite 110 Sparta NJ NEW JERSEY 07871 973-940-3166 NEW JERSEY None None Limited Liability Company true Kevin White 380 Lafayette Rd. Suite 110 Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee Robert Anthony Defalco, Jr. 380 Lafayette Rd. Suite 110 Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee Sap Sinha 380 Lafayette Rd. Suite 110 Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee Christian Ellison 380 Lafayette Rd. Suite 110 Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee Stephen Koss 380 Lafayette Rd. Suite 110 Sparta NJ NEW JERSEY 07871 Executive Officer Secretary of Issuer Richard L. Sharff, Jr. 380 Lafayette Rd. Suite 110 Sparta NJ NEW JERSEY 07871 Executive Officer Vice president 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 Suite 901 Birmingham AL ALABAMA 35209 NJ NEW JERSEY false 124633 0 124633 false 0 0 0 0 false Specialty Surgical Center, LLC/NJ /s/ Cade Morgan Cade Morgan Attorney for Issuer 2018-03-22