0001884230-21-000001.txt : 20210922
0001884230-21-000001.hdr.sgml : 20210922
20210922130032
ACCESSION NUMBER: 0001884230-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210922
DATE AS OF CHANGE: 20210922
EFFECTIVENESS DATE: 20210922
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Foundation Surgery Affiliate of Huntingdon Valley, L.P.
CENTRAL INDEX KEY: 0001884230
IRS NUMBER: 000000000
STATE OF INCORPORATION: OK
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-414212
FILM NUMBER: 211269017
BUSINESS ADDRESS:
STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901
CITY: BIRMINGHAM
STATE: AL
ZIP: 35209
BUSINESS PHONE: 205-545-2734
MAIL ADDRESS:
STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901
CITY: BIRMINGHAM
STATE: AL
ZIP: 35209
D
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0001884230
Foundation Surgery Affiliate of Huntingdon Valley, L.P.
569 BROOKWOOD VILLAGE, SUITE 901
BIRMINGHAM
AL
ALABAMA
35209
205-545-2734
OKLAHOMA
None
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Limited Partnership
true
of Huntingdon Valley, LLC
Foundation Surgery Affiliate General
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Promoter
General Partner
Nancy
Easley-Mack
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Director
Manager of General Partner
Lillian
Carson
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Director
Director of General Partner
Barry
Graf
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Executive Officer
Director
President and Director of General Partner
Eric
George, MD
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Executive Officer
Director
Vice President and Director of General Partner
Robert
Mannherz, MD
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Director
Director of General Partner
Jeff
Reich, MD
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
Director
Director of General Partner
Other Health Care
Decline to Disclose
- 06b
false
2021-09-13
false
true
false
0
SCA Development, LLC
35451
None
None
569 Brookwood Village, Suite 901
Birmingham
AL
ALABAMA
35209
OK
OKLAHOMA
false
83238
83238
0
false
1
25000
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Foundation Surgery Affiliate of Huntingdon Valley, L.P.
Nancy Easley-Mack
Nancy Easley-Mack
Manager
2021-09-22