0001735065-22-000001.txt : 20220201 0001735065-22-000001.hdr.sgml : 20220201 20220201104204 ACCESSION NUMBER: 0001735065-22-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220201 DATE AS OF CHANGE: 20220201 EFFECTIVENESS DATE: 20220201 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-413879 FILM NUMBER: 22577345 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/A 1 primary_doc.xml X0708 D/A 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 true 0001735065-21-000001 2021-10-19 false true false 0 n/a None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 IL ILLINOIS false 1970001 1965136 4865 false 3 0 0 0 false Southwest Surgery Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2022-02-01