0001707887-23-000001.txt : 20230613 0001707887-23-000001.hdr.sgml : 20230613 20230613145549 ACCESSION NUMBER: 0001707887-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230613 DATE AS OF CHANGE: 20230613 EFFECTIVENESS DATE: 20230613 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Derry Surgical Center, LLC CENTRAL INDEX KEY: 0001707887 IRS NUMBER: 821436601 STATE OF INCORPORATION: NH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-484085 FILM NUMBER: 231011043 BUSINESS ADDRESS: STREET 1: 11 TSIENNETO ROAD CITY: DERRY STATE: NH ZIP: 03038 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 11 TSIENNETO ROAD CITY: DERRY STATE: NH ZIP: 03038 D 1 primary_doc.xml X0708 D LIVE 0001707887 Derry Surgical Center, LLC 11 TSIENNETO ROAD DERRY NH NEW HAMPSHIRE 03038 603-460-4955 NEW HAMPSHIRE None None Limited Liability Company true Paul Abbate 11 Tsienneto Road Derry NH NEW HAMPSHIRE 03038 Director Board Member Gina Mondo 11 Tsienneto Road Derry NH NEW HAMPSHIRE 03038 Director Board Member Tom Buchanan 11 Tsienneto Road Derry NH NEW HAMPSHIRE 03038 Director Board Member Leon McLean, M.D. 11 Tsienneto Road Derry NH NEW HAMPSHIRE 03038 Director Board Member Fletcher Wilson, MD 11 Tsienneto Road Derry NH NEW HAMPSHIRE 03038 Director Board 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 NH NEW HAMPSHIRE false 100000 0 100000 false 0 0 0 0 false Derry Surgical Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-06-13