0001754364-24-000001.txt : 20240229 0001754364-24-000001.hdr.sgml : 20240229 20240229151836 ACCESSION NUMBER: 0001754364-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240229 DATE AS OF CHANGE: 20240229 EFFECTIVENESS DATE: 20240229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Colonial Outpatient Surgery Center, LLC CENTRAL INDEX KEY: 0001754364 ORGANIZATION NAME: IRS NUMBER: 831529015 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-506435 FILM NUMBER: 24703081 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 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 Director President and Board Member of Issuer's Manager Ladd W. Mark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Vice President and Board Member of Issuer's Manager Patrick Neil Walker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Vice President and Board Member of Issuer's Manager 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 39000 0 39000 false 0 0 0 0 false Colonial Outpatient Surgery Center, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2024-02-29