0001754364-20-000001.txt : 20201222 0001754364-20-000001.hdr.sgml : 20201222 20201222104725 ACCESSION NUMBER: 0001754364-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201222 DATE AS OF CHANGE: 20201222 EFFECTIVENESS DATE: 20201222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Colonial Outpatient Surgery Center, LLC CENTRAL INDEX KEY: 0001754364 IRS NUMBER: 831529015 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-383994 FILM NUMBER: 201406585 BUSINESS ADDRESS: STREET 1: 4571 COLONIAL BOULEVARD STREET 2: SUITE 200 CITY: FORT MYERS STATE: FL ZIP: 33966 BUSINESS PHONE: 239-333-2560 MAIL ADDRESS: STREET 1: 4571 COLONIAL BOULEVARD STREET 2: SUITE 200 CITY: FORT MYERS STATE: FL ZIP: 33966 D 1 primary_doc.xml X0708 D LIVE 0001754364 Colonial Outpatient Surgery Center, LLC 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33966 239-333-2560 FLORIDA None None Limited Liability Company true 2018 N/A SCA-Colonial Partners, LLC 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33966 Executive Officer Director Manager Ladd W. Mark 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33966 Executive Officer Director Vice President of Manager Jordan Jones 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33966 Executive Officer Director President of Manager P. Neil Walker 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33966 Executive Officer Director Vice President of Manager Jordan Cox 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33966 Executive Officer President of Issuer John Walker 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33966 Executive Officer Secretary of Issuer Other Health Care Decline to Disclose 06b false 2020-12-07 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 66000 66000 0 false 1 0 0 66000 All proceeds will be used to redeem equity held by our Manager false Colonial Outpatient Surgery Center, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2020-12-22