0001754456-18-000002.txt : 20180927 0001754456-18-000002.hdr.sgml : 20180927 20180927115929 ACCESSION NUMBER: 0001754456-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180927 DATE AS OF CHANGE: 20180927 EFFECTIVENESS DATE: 20180927 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: 021-322265 FILM NUMBER: 181090056 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 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Manager Ladd W. Mark 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Director of Manager Jordan Jones 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Director of Manager P. Neil Walker 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Director Director 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 true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 349740 0 349740 false 0 0 0 349740 Payment to Issuer's Manager false Colonial Outpatient Surgery Center, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2018-09-27