0001793287-19-000001.txt : 20191106 0001793287-19-000001.hdr.sgml : 20191106 20191106134347 ACCESSION NUMBER: 0001793287-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191106 DATE AS OF CHANGE: 20191106 EFFECTIVENESS DATE: 20191106 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Park Hill Surgery Center, LLC CENTRAL INDEX KEY: 0001793287 IRS NUMBER: 451484375 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-352743 FILM NUMBER: 191195831 BUSINESS ADDRESS: STREET 1: 3455 LOCKE AVENUE, SUITE 100 CITY: FORT WORTH STATE: TX ZIP: 76107 BUSINESS PHONE: 817-585-1900 MAIL ADDRESS: STREET 1: 3455 LOCKE AVENUE, SUITE 100 CITY: FORT WORTH STATE: TX ZIP: 76107 D 1 primary_doc.xml X0708 D LIVE 0001793287 Park Hill Surgery Center, LLC 3455 LOCKE AVENUE, SUITE 100 FORT WORTH TX TEXAS 76107 817-585-1900 TEXAS None None Limited Liability Company true N/A THR-SCA Holdings, LLC 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Promoter Managing Member Scott Seidler 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Andy Dollahite 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Jawad Qureshi 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Michael Boothby 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director John Birbari 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Lenetra King 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Director Jeffrey Canose 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Executive Officer Chip Zahn 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Executive Officer John Mitchell 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Executive Officer Rick McWhorter 3455 Locke Avenue Suite 100 Fort Worth TX TEXAS 76107 Executive Officer Other Health Care Decline to Disclose 06b false 2019-10-22 false true false 0 N/A None SCA Development 35451 567 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 345420 345420 0 false 1 0 0 345420 All proceeds will be used to redeem units held by the managing member. false Park Hill Surgery Center, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2019-11-06