0001735065-21-000001.txt : 20210920 0001735065-21-000001.hdr.sgml : 20210920 20210920122641 ACCESSION NUMBER: 0001735065-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210920 DATE AS OF CHANGE: 20210920 EFFECTIVENESS DATE: 20210920 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Southwest Surgery Center, LLC CENTRAL INDEX KEY: 0001735065 IRS NUMBER: 364369359 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-413879 FILM NUMBER: 211262561 BUSINESS ADDRESS: STREET 1: 19110 DARVIN DRIVE CITY: MOKENA STATE: IL ZIP: 60448 BUSINESS PHONE: 708-390-2290 MAIL ADDRESS: STREET 1: 19110 DARVIN DRIVE CITY: MOKENA STATE: IL ZIP: 60448 D 1 primary_doc.xml X0708 D LIVE 0001735065 Southwest Surgery Center, LLC 19110 DARVIN DRIVE MOKENA IL ILLINOIS 60448 708-390-2290 ILLINOIS None None Limited Liability Company true Ryan Brown 19110 Darvin Drive Suite A Mokena IL ILLINOIS 60448 Director Kevin Elliott 19110 Darvin Drive Suite A Mokena IL ILLINOIS 60448 Director David Lubeck, M.D. 19110 Darvin Drive Suite A Mokena IL ILLINOIS 60448 Director Phillip Narcissi, DPM 19110 Darvin Drive Suite A Mokena IL ILLINOIS 60448 Director Cary Templin, M.D. 19110 Darvin Drive Suite A Mokena IL ILLINOIS 60448 Director 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 IL ILLINOIS false 1576000 0 1576000 false 0 0 0 0 false Southwest Surgery Center, LLC Victoria Young Victoria Young Attorney for Issuer 2021-09-20