0001937869-22-000001.txt : 20220714 0001937869-22-000001.hdr.sgml : 20220714 20220714160531 ACCESSION NUMBER: 0001937869-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20220714 DATE AS OF CHANGE: 20220714 EFFECTIVENESS DATE: 20220714 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lutheran Campus ASC, LLC CENTRAL INDEX KEY: 0001937869 IRS NUMBER: 020749532 STATE OF INCORPORATION: CO FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-452441 FILM NUMBER: 221083086 BUSINESS ADDRESS: STREET 1: 3455 LUTHERAN PARKWAY STREET 2: SUITE 150 CITY: WHEAT RIDGE STATE: CO ZIP: 80033 BUSINESS PHONE: 303-301-7700 MAIL ADDRESS: STREET 1: 3455 LUTHERAN PARKWAY STREET 2: SUITE 150 CITY: WHEAT RIDGE STATE: CO ZIP: 80033 D 1 primary_doc.xml X0708 D LIVE 0001937869 Lutheran Campus ASC, LLC 3455 LUTHERAN PARKWAY SUITE 150 WHEAT RIDGE CO COLORADO 80033 303-301-7700 COLORADO None None Limited Liability Company true Brian Shelton 3455 Lutheran Parkway Suite 150 Wheat Ridge CO COLORADO 80033 Director Jovanna Grissom 3455 Lutheran Parkway Suite 150 Wheat Ridge CO COLORADO 80033 Director Megan Durning 3455 Lutheran Parkway Suite 150 Wheat Ridge CO COLORADO 80033 Director William Ciccone, M.D. 3455 Lutheran Parkway Suite 150 Wheat Ridge CO COLORADO 80033 Director David Brierbrauer, MD 3455 Lutheran Parkway Suite 150 Wheat Ridge CO COLORADO 80033 Director N/A D SCLHS-SCA Holdings, LLC 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 Promoter Managing Member Other Health Care Decline to Disclose 04 false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CO COLORADO false 123376 0 123376 true 0 0 0 0 0 false Lutheran Campus ASC, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2022-07-14