0001178858-22-000005.txt : 20220406 0001178858-22-000005.hdr.sgml : 20220406 20220406140802 ACCESSION NUMBER: 0001178858-22-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220406 DATE AS OF CHANGE: 20220406 EFFECTIVENESS DATE: 20220406 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgery Centers of NW Indiana, LLC CENTRAL INDEX KEY: 0001920358 IRS NUMBER: 881242169 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-440662 FILM NUMBER: 22810245 BUSINESS ADDRESS: STREET 1: 415 SPRINGWOOD DRIVE CITY: CARMEL STATE: IN ZIP: 46032 BUSINESS PHONE: 317-379-8566 MAIL ADDRESS: STREET 1: 415 SPRINGWOOD DRIVE CITY: CARMEL STATE: IN ZIP: 46032 D 1 primary_doc.xml X0708 D LIVE 0001920358 Surgery Centers of NW Indiana, LLC 415 SPRINGWOOD DRIVE CARMEL IN INDIANA 46032 317-379-8566 INDIANA None None Limited Liability Company true 2022 Holdings, LLC Surgery Centers of NW Indiana 415 Springwood Drive Carmel IN INDIANA 46032 Executive Officer Manager Zakir Khan 415 Springwood Drive Carmel IN INDIANA 46032 Executive Officer Hospitals and Physicians Decline to Disclose 06b false 2022-03-23 false true false 10000 490000 50000 440000 false 1 0 0 0 false Surgery Centers of NW Indiana, LLC /s/ Zakir Khan Zakir Khan CEO 2022-04-06