0001787392-19-000001.txt : 20190920
0001787392-19-000001.hdr.sgml : 20190920
20190919173723
ACCESSION NUMBER: 0001787392-19-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190920
DATE AS OF CHANGE: 20190919
EFFECTIVENESS DATE: 20190920
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Willis Surgicenter, LLC
CENTRAL INDEX KEY: 0001787392
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-349276
FILM NUMBER: 191102344
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
0001787392
Willis Surgicenter, LLC
ONE PARK PLAZA
NASHVILLE
TN
TENNESSEE
37203
(615) 344-1444
DELAWARE
None
None
Limited Liability Company
true
2019
Greg
Beasley
One Park Plaza
Nashville
TN
TENNESSEE
37203
Executive Officer
Director
Officer/Director of Managing Member of Issuer
John
M.
Franck
One Park Plaza
Nashville
TN
TENNESSEE
37203
Executive Officer
Director
Officer/Director of Managing Member of Issuer
A.
Bruce
Moore
One Park Plaza
Nashville
TN
TENNESSEE
37203
Executive Officer
Director
Officer/Director of Managing Member of Issuer
Other Health Care
Decline to Disclose
- 06b
false
2019-09-13
false
true
true
limited liability company membership interests
false
5350
The Securities Group, LLC
118148
Betty Gearhart
735679
6465 North Quail Hollow Road
Suite 400
Memphis
TN
TENNESSEE
38120
TX
TEXAS
false
2621500
700850
1920650
true
0
5
15000
0
0
false
Willis Surgicenter, LLC
/s/ John M. Franck II
John M. Franck
Vice President of Managing Member
2019-09-19