0001720731-17-000002.txt : 20171025 0001720731-17-000002.hdr.sgml : 20171025 20171025123322 ACCESSION NUMBER: 0001720731-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171025 DATE AS OF CHANGE: 20171025 EFFECTIVENESS DATE: 20171025 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pocono Ambulatory Surgery Center, Ltd CENTRAL INDEX KEY: 0001720731 IRS NUMBER: 000000000 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-297392 FILM NUMBER: 171152606 BUSINESS ADDRESS: STREET 1: 1 STORM ST. CITY: STROUDSBURG STATE: PA ZIP: 18360 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 0001720731 Pocono Ambulatory Surgery Center, Ltd 1 Storm St. Stroudsburg PA PENNSYLVANIA 18360 570-421-4978 PENNSYLVANIA None None Limited Partnership true N/A Pocono Ambulatory Services, Inc. 206 East Brown St. East Stroudsburg PA PENNSYLVANIA 18301 Executive Officer Director General partner. N/A SCA-Pocono, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director General partner. Richard L. Sharff 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice president of General Partner SCA-Pocono, LLC. 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 PA PENNSYLVANIA false 36000 0 36000 false 0 0 0 0 false Pocono Ambulatory Surgery Center, Ltd /s/ Cade Morgan Cade Morgan Attorney for Issuer 2017-10-25