0001890916-25-000002.txt : 20251001 0001890916-25-000002.hdr.sgml : 20251001 20251001171944 ACCESSION NUMBER: 0001890916-25-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20251001 DATE AS OF CHANGE: 20251001 EFFECTIVENESS DATE: 20251001 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Palos Surgicenter, LLC CENTRAL INDEX KEY: 0001890916 ORGANIZATION NAME: EIN: 364404305 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-559513 FILM NUMBER: 251365593 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, MD c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Executive Officer Director Amanda Nunkovich c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Executive Officer Christopher Farley, MD c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director William Kosmala, MD c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director Narayan Ponakala, MD c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director Doug Lashley c/o Palos Surgicenter, LLC 7340 W. College Drive, #1 Palos Heights IL ILLINOIS 60463 Director Other Health Care Decline to Disclose 06b false 2025-10-01 false true false 78956 78956 78956 0 false 1 0 0 0 false Palos Surgicenter, LLC /s/ Doug Lashley Doug Lashley Manager 2025-10-01