0001771437-21-000001.txt : 20211201 0001771437-21-000001.hdr.sgml : 20211201 20211201124052 ACCESSION NUMBER: 0001771437-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211201 DATE AS OF CHANGE: 20211201 EFFECTIVENESS DATE: 20211201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PAVILION SURGICENTER, LLC CENTRAL INDEX KEY: 0001771437 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-423063 FILM NUMBER: 211462116 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 0001771437 PAVILION SURGICENTER, LLC ONE PARK PLAZA NASHVILLE TN TENNESSEE 37203 615-344-1444 DELAWARE None None Limited Liability Company true 2018 Greg Bruce Beasley One Park Plaza Nashville TN TENNESSEE 37203 Executive Officer Director Officer and Director of Managing Member of Issuer John M. Franck One Park Plaza Nashville TN TENNESSEE 37203 Executive Officer Director Officer and Director of Managing Member of Issuer A. Bruce Moore One Park Plaza Nashville TN TENNESSEE 37203 Executive Officer Director Officer and Director of Managing Member of Issuer Other Health Care No Revenues 06b false 2021-11-23 false true true limited liability company membership interests false 1635 The Securities Group, LLC 118148 Betty Gearhart 735679 6465 North Quail Hollow Road Memphis TN TENNESSEE 38120 TN TENNESSEE false 801150 65400 735750 false 1 15000 0 0 false PAVILION SURGICENTER, LLC /s/ John M. Frank II John M. Franck II Vice President and Secretary of Managing Member 2021-12-01