0001928964-22-000001.txt : 20220516 0001928964-22-000001.hdr.sgml : 20220516 20220513190658 ACCESSION NUMBER: 0001928964-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220516 DATE AS OF CHANGE: 20220513 EFFECTIVENESS DATE: 20220516 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Banner Surgery Center - Thunderbird, LLC CENTRAL INDEX KEY: 0001928964 IRS NUMBER: 843441285 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-445710 FILM NUMBER: 22924654 BUSINESS ADDRESS: STREET 1: 5555 WEST THUNDERBIRD ROAD STREET 2: SUITE 150 CITY: GLENDALE STATE: AZ ZIP: 85306 BUSINESS PHONE: 6023588512 MAIL ADDRESS: STREET 1: 2355 E. CAMELBACK RD. STREET 2: SUITE 700 CITY: PHOENIX STATE: AZ ZIP: 85016 D 1 primary_doc.xml X0708 D LIVE 0001928964 Banner Surgery Center - Thunderbird, LLC 5555 WEST THUNDERBIRD ROAD SUITE 150 GLENDALE AZ ARIZONA 85306 6023588512 ARIZONA None None Limited Liability Company true 2019 Derek Mitzel 5555 West Thunderbird Road Suite 150 Glendale AZ ARIZONA 85306 Director Manager Debra Flores 5555 West Thunderbird Road Suite 150 Glendale AZ ARIZONA 85306 Director Manager Mili Shelton 5555 West Thunderbird Road Suite 150 Glendale AZ ARIZONA 85306 Director Manager Other Health Care Decline to Disclose 06b false true false true false 30000 735000 0 735000 false 0 0 0 0 false Banner Surgery Center - Thunderbird, LLC Mili Shelton Mili Shelton Manager 2022-05-13