0001704463-23-000001.txt : 20230308 0001704463-23-000001.hdr.sgml : 20230308 20230308144931 ACCESSION NUMBER: 0001704463-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230308 DATE AS OF CHANGE: 20230308 EFFECTIVENESS DATE: 20230308 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: 021-475243 FILM NUMBER: 23715812 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 Road Sparta NJ NEW JERSEY 07871 973-940-3166 NEW JERSEY None None Limited Liability Company true Robert Cox 380 Lafayette Road Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee David Festi 380 Lafayette Road Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee Kevin White 380 Lafayette Road Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee Robert DeFalco, Jr., D.O. 380 Lafayette Road Sparta NJ NEW JERSEY 07871 Director Member of Issuer's Management Committee Richard Sharff, Jr. 380 Lafayette Road Sparta NJ NEW JERSEY 07871 Executive Officer Vice President of Issuer Stephen Koss, M.D. 380 Lafayette Road Sparta NJ NEW JERSEY 07871 Executive Officer Secretary 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 492283 0 492283 false 0 0 0 0 false Specialty Surgical Center, LLC/NJ /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-03-08