0001934452-22-000001.txt : 20220617 0001934452-22-000001.hdr.sgml : 20220617 20220617163132 ACCESSION NUMBER: 0001934452-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220617 DATE AS OF CHANGE: 20220617 EFFECTIVENESS DATE: 20220617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: United Medical Park ASC, LLC CENTRAL INDEX KEY: 0001934452 IRS NUMBER: 831720113 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-449642 FILM NUMBER: 221024352 BUSINESS ADDRESS: STREET 1: 1731 WEST RIDGEWAY AVENUE STREET 2: SUITE 300 CITY: WATERLOO STATE: IA ZIP: 50701 BUSINESS PHONE: 319-833-5800 MAIL ADDRESS: STREET 1: 1731 WEST RIDGEWAY AVENUE STREET 2: SUITE 300 CITY: WATERLOO STATE: IA ZIP: 50701 D 1 primary_doc.xml X0708 D LIVE 0001934452 United Medical Park ASC, LLC 1731 WEST RIDGEWAY AVENUE SUITE 300 WATERLOO IA IOWA 50701 319-833-5800 IOWA None None Limited Liability Company true 2018 Ashfar Afzal, MD 1731 West Ridgeway Avenue Suite 300 Waterloo IA IOWA 50701 Director Member of Board of Managers Peter Rhee, MD 1731 West Ridgeway Avenue Suite 300 Waterloo IA IOWA 50701 Director Member of Board of Managers Eric Andresen, MD 1731 West Ridgeway Avenue Suite 300 Waterloo IA IOWA 50701 Director Member of Board of Managers Pam Delagardelle 1731 West Ridgeway Avenue Suite 300 Waterloo IA IOWA 50701 Director Member of Board of Managers Jenni Friedly 1731 West Ridgeway Avenue Suite 300 Waterloo IA IOWA 50701 Director Chair of Board of Managers Steven Palmersheim 1731 West Ridgeway Avenue Suite 300 Waterloo IA IOWA 50701 Director Member of Board of Managers Russell Adams 1731 West Ridgeway Avenue Suite 300 Waterloo IA IOWA 50701 Director Member of Board of Managers Other Health Care Decline to Disclose 06b false 2022-06-09 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 IA IOWA false 124000 124000 0 false 1 0 0 0 false United Medical Park ASC, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2022-06-17