0001754631-18-000001.txt : 20181015 0001754631-18-000001.hdr.sgml : 20181015 20181015145038 ACCESSION NUMBER: 0001754631-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181015 DATE AS OF CHANGE: 20181015 EFFECTIVENESS DATE: 20181015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Brentwood ASC, LLC CENTRAL INDEX KEY: 0001754631 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-323549 FILM NUMBER: 181122040 BUSINESS ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 615-344-1444 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 D 1 primary_doc.xml X0708 D LIVE 0001754631 Brentwood ASC, LLC ONE PARK PLAZA NASHVILLE TN TENNESSEE 37203 615-344-1444 DELAWARE None None Limited Liability Company true 2018 Greg Beasley One Park Plaza Nashville TN TENNESSEE 37203 Executive Officer Director John M. Franck One Park Plaza Nashville TN TENNESSEE 37203 Executive Officer Director A. Bruce Moore One Park Plaza Nashville TN TENNESSEE 37203 Executive Officer Director Other Health Care Decline to Disclose 06b false true false true true limited liability company membership interest false 4995 The Securities Group, LLC 118148 Betty Gearhart 735679 6465 North Quail Hollow Road Suite 400 Memphis TN TENNESSEE 38120 TN TENNESSEE false 2447550 0 2447550 false 0 15000 0 0 false Brentwood ASC, LLC /s/ John M. Franck II John M. Franck II VP of Managing Member 2018-10-15