0001780257-19-000002.txt : 20190620 0001780257-19-000002.hdr.sgml : 20190620 20190620112336 ACCESSION NUMBER: 0001780257-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190620 DATE AS OF CHANGE: 20190620 EFFECTIVENESS DATE: 20190620 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Orthopedic Surgery Center of Palm Beach County, LLC CENTRAL INDEX KEY: 0001780257 IRS NUMBER: 812594417 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-342376 FILM NUMBER: 19907747 BUSINESS ADDRESS: STREET 1: 10275 HAGEN RANCH ROAD STREET 2: SUITE 100 CITY: BOYNTON BEACH STATE: FL ZIP: 33437 BUSINESS PHONE: 561-300-1400 MAIL ADDRESS: STREET 1: 10275 HAGEN RANCH ROAD STREET 2: SUITE 100 CITY: BOYNTON BEACH STATE: FL ZIP: 33437 FORMER COMPANY: FORMER CONFORMED NAME: Orthopedic Surgery Center of Palm Beach, LLC DATE OF NAME CHANGE: 20190620 D 1 primary_doc.xml X0708 D LIVE 0001780257 Orthopedic Surgery Center of Palm Beach County, LLC 10275 HAGEN RANCH ROAD SUITE 100 BOYNTON BEACH FL FLORIDA 33437 561-300-1400 FLORIDA Orthopedic Surgery Center of Palm Beach, LLC Limited Liability Company true 2015 Jordan Cox 10275 Hagen Ranch Road Suite 100 Boynton Beach FL FLORIDA 33437 Executive Officer Director Member of the Issuer's Board of Managers John Walker 10275 Hagen Ranch Road Suite 100 Boynton Beach FL FLORIDA 33437 Executive Officer Director Member of the Issuer's Board of Managers Gary Richman 10275 Hagen Ranch Road Suite 100 Boynton Beach FL FLORIDA 33437 Executive Officer Director Member of the Issuer's Board of Managers James T. Clancy 10275 Hagen Ranch Road Suite 100 Boynton Beach FL FLORIDA 33437 Executive Officer Director Member of the Issuer's Board of Managers Other Health Care Decline to Disclose 06b false 2019-06-10 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 FL FLORIDA false 69000 69000 0 false 1 0 0 0 false Orthopedic Surgery Center of Palm Beach County, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2019-06-20