0001754364-23-000002.txt : 20231020 0001754364-23-000002.hdr.sgml : 20231020 20231020132038 ACCESSION NUMBER: 0001754364-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231020 DATE AS OF CHANGE: 20231020 EFFECTIVENESS DATE: 20231020 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: 021-495309 FILM NUMBER: 231336701 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 Ladd Mark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice President of the Issuer's Manager Patrick Walker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Vice President of the Issuer's Manager Jordan Jones 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer President of the Issuer's Manager John Walker 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33699 Executive Officer Secretary of Issuer Jordan Cox 4571 COLONIAL BOULEVARD SUITE 200 FORT MYERS FL FLORIDA 33699 Executive Officer President of Issuer N/A SCA-Colonial Partners, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Promoter Manager 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 195000 0 195000 false 0 0 0 0 false Colonial Outpatient Surgery Center, LLC /s/ Thomas Garrott Thomas Garrott Attorney for Issuer 2023-10-20