0001745139-18-000001.txt : 20180705
0001745139-18-000001.hdr.sgml : 20180705
20180705105757
ACCESSION NUMBER: 0001745139-18-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20180705
DATE AS OF CHANGE: 20180705
EFFECTIVENESS DATE: 20180705
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Brandon Ambulatory Surgery Center, LC
CENTRAL INDEX KEY: 0001745139
IRS NUMBER: 202387834
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-316077
FILM NUMBER: 18939794
BUSINESS ADDRESS:
STREET 1: 514 EICHENFELD DRIVE
CITY: BRANDON
STATE: FL
ZIP: 33511
BUSINESS PHONE: 813-571-7088
MAIL ADDRESS:
STREET 1: 514 EICHENFELD DRIVE
CITY: BRANDON
STATE: FL
ZIP: 33511
D
1
primary_doc.xml
X0708
D
LIVE
0001745139
Brandon Ambulatory Surgery Center, LC
514 EICHENFELD DRIVE
BRANDON
FL
FLORIDA
33511
813-571-7088
FLORIDA
None
None
Limited Liability Company
true
Winborne
Macphail
514 Eichenfeld Drive
Brandon
FL
FLORIDA
33511
Director
Member of Board of Managers
Andrew
Sparks
514 Eichenfeld Drive
Brandon
FL
FLORIDA
33511
Director
Member of Board of Managers
David
Cutter
514 Eichenfeld Drive
Brandon
FL
FLORIDA
33511
Executive Officer
Director
Member of Board of Managers; Secretary
Haroon
Ilyas
514 Eichenfeld Drive
Brandon
FL
FLORIDA
33511
Executive Officer
Director
Member of Board of Managers; President
Scott
Goldsmith
514 Eichenfeld Drive
Brandon
FL
FLORIDA
33511
Director
Member of Board of Managers
Craig
Amshel
514 Eichenfeld Drive
Brandon
FL
FLORIDA
33511
Executive Officer
Vice President
Zak
Khan
514 Eichenfeld Drive
Brandon
FL
FLORIDA
33511
Executive Officer
Secretary
Other Health Care
Decline to Disclose
- 06b
false
2018-07-03
false
true
false
0
N/A
None
SCA Development, LLC
35451
569 Brookwood Village
Suite 901
Birmingham
AL
ALABAMA
35209
FL
FLORIDA
false
13298
6649
6649
false
1
0
0
0
false
Brandon Ambulatory Surgery Center, LC
/s/ Cade Morgan
Cade Morgan
Attorney for Issuer
2018-07-05