0001720731-19-000001.txt : 20190625 0001720731-19-000001.hdr.sgml : 20190625 20190625145948 ACCESSION NUMBER: 0001720731-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190625 DATE AS OF CHANGE: 20190625 EFFECTIVENESS DATE: 20190625 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: 021-342733 FILM NUMBER: 19918257 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 Street East Stroudsburg PA PENNSYLVANIA 18301 Executive Officer Director Issuer's general partner Steve Cunningham 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Director Board of Directors Member and Chairperson of Pocono Ambulatory Services, Inc. Elizabeth Wise 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Director Board of Directors Member and Vice Chairperson of Pocono Ambulatory Services, Inc. N/A SCA-Pocono, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Issuer's general partner Ladd W. Mark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice president of SCA-Pocono, LLC Neil P. Walker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice president of SCA-Pocono, LLC Jordan Jones 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer President of SCA-Pocono, LLC Vincent Francescangeli 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Director Board of Directors Member and Chief of Staff of Pocono Ambulatory Services, Inc. Robert Begliomini 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Director Board of Directors Member of Pocono Ambulatory Services, Inc. William Cors 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Director Board of Directors Member and Secretary of Pocono Ambulatory Services, Inc. Linda Roccograndi Bravyak 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Executive Officer Director CEO and Board of Directors Member of Pocono Ambulatory Services, Inc. Darell Covington 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Director Board of Directors Member of Pocono Ambulatory Services, Inc. Robert Cox 206 East Brown Street East Stroudsburg PA PENNSYLVANIA 18301 Director Board of Directors Member of Pocono Ambulatory Services, Inc. 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 20000 0 20000 false 0 0 0 20000 Payment to SCA-Pocono, LLC false Pocono Ambulatory Surgery Center, Ltd /s/ Cade Morgan Cade Morgan Attorney for Issuer 2019-06-25