0000895527-23-000009.txt : 20230920 0000895527-23-000009.hdr.sgml : 20230920 20230920163941 ACCESSION NUMBER: 0000895527-23-000009 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230920 DATE AS OF CHANGE: 20230920 EFFECTIVENESS DATE: 20230920 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Palos Surgicenter, LLC CENTRAL INDEX KEY: 0001890916 IRS NUMBER: 364404305 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-492623 FILM NUMBER: 231266904 BUSINESS ADDRESS: STREET 1: 7340 W. COLLEGE DRIVE STREET 2: #1 CITY: PALOS HEIGHTS STATE: IL ZIP: 60463 BUSINESS PHONE: 708-361-3233 MAIL ADDRESS: STREET 1: 7340 W. COLLEGE DRIVE STREET 2: #1 CITY: PALOS HEIGHTS STATE: IL ZIP: 60463 D 1 primary_doc.xml X0708 D LIVE 0001890916 Palos Surgicenter, LLC 7340 W. COLLEGE DRIVE #1 PALOS HEIGHTS IL ILLINOIS 60463 708-361-3233 ILLINOIS None None Limited Liability Company true Muhamad Amine c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Executive Officer Director Christopher Farley c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director William Kosmala c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director Nicholas Speziale c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director Claire Gibson c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director Amanda Nunkovich c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Executive Officer Other Health Care Decline to Disclose 06b false 2023-09-01 false true false 54310 68800 68800 0 false 1 0 0 0 false Palos Surgicenter, LLC /s/ Claire Gibson Claire Gibson Manager 2023-09-20