0001754364-23-000001.txt : 20230222 0001754364-23-000001.hdr.sgml : 20230222 20230222164707 ACCESSION NUMBER: 0001754364-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230222 DATE AS OF CHANGE: 20230222 EFFECTIVENESS DATE: 20230222 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: 021-474046 FILM NUMBER: 23654019 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 210 FORT MYERS FL FLORIDA 33966 239-333-2560 FLORIDA None None Limited Liability Company true 2018 N/A SCA-Colonial Partners, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Promoter Manager of Issuer Jordan Jones 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer President of Issuer's Manager Ladd Mark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice-President of Issuer's Manager Patrick Walker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice-President of Issuer's Manager Jordan Cox 4571 Colonial Boulevard Suite 210 Fort Myers FL FLORIDA 33966 Executive Officer President of Issuer John Walker 4571 Colonial Boulevard Suite 210 Fort Myers FL FLORIDA 33966 Executive Officer Secretary of Issuer Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 177500 0 177500 false 0 0 0 0 false Colonial Outpatient Surgery Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2023-02-22