0001753772-18-000001.txt : 20180925 0001753772-18-000001.hdr.sgml : 20180925 20180925103723 ACCESSION NUMBER: 0001753772-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180925 DATE AS OF CHANGE: 20180925 EFFECTIVENESS DATE: 20180925 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Executive Surgery Center, L.L.C. CENTRAL INDEX KEY: 0001753772 IRS NUMBER: 300701899 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-322067 FILM NUMBER: 181085024 BUSINESS ADDRESS: STREET 1: 13603 MICHEL RD. STREET 2: SUITE 100 CITY: TOMBALL STATE: TX ZIP: 77375 BUSINESS PHONE: 832-698-3720 MAIL ADDRESS: STREET 1: 13603 MICHEL RD. STREET 2: SUITE 100 CITY: TOMBALL STATE: TX ZIP: 77375 D 1 primary_doc.xml X0708 D LIVE 0001753772 Executive Surgery Center, L.L.C. 13603 MICHEL RD. SUITE 100 TOMBALL TX TEXAS 77375 832-698-3720 TEXAS None None Limited Liability Company true Chip Zahn 13603 Michel Rd. Suite 100 Tomball TX TEXAS 77375 Executive Officer Director Member of Board of Managers Jeff Smith 13603 Michel Rd. Suite 100 Tomball TX TEXAS 77375 Executive Officer Director Member of Board of Managers Matthew Hammit 13603 Michel Rd. Suite 100 Tomball TX TEXAS 77375 Executive Officer Director Member of Board of Managers Mohammed-Tarek Al-Fahl 13603 Michel Rd. Suite 100 Tomball TX TEXAS 77375 Executive Officer Director Member of Board of Managers Phillip Prince 13603 Michel Rd. Suite 100 Tomball TX TEXAS 77375 Executive Officer Director Member of Board of Managers Other Health Care Decline to Disclose 06b false 2018-09-18 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 150001 30000 120001 false 1 0 0 0 false Executive Surgery Center, L.L.C. /s/ Cade Morgan Cade Morgan Attorney for Issuer 2018-09-25