0001753772-20-000001.txt : 20201221 0001753772-20-000001.hdr.sgml : 20201221 20201221130005 ACCESSION NUMBER: 0001753772-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201221 DATE AS OF CHANGE: 20201221 EFFECTIVENESS DATE: 20201221 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: 021-383841 FILM NUMBER: 201403354 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 Teresa Featherly 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 Jennifer Zimmerman 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 2020-12-04 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 53077 53077 0 false 1 0 0 0 false Executive Surgery Center, L.L.C. /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2020-12-21