0001988751-23-000001.txt : 20230810 0001988751-23-000001.hdr.sgml : 20230810 20230809173802 ACCESSION NUMBER: 0001988751-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230810 DATE AS OF CHANGE: 20230809 EFFECTIVENESS DATE: 20230810 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AdventHealth Surgery Center Innovation Tower, LLC CENTRAL INDEX KEY: 0001978920 IRS NUMBER: 882744377 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-489295 FILM NUMBER: 231156444 BUSINESS ADDRESS: STREET 1: 265 E. ROLLINS STREET STREET 2: SUITE 3100 CITY: ORLANDO STATE: FL ZIP: 32804 BUSINESS PHONE: 407-303-9366 MAIL ADDRESS: STREET 1: 265 E. ROLLINS STREET STREET 2: SUITE 3100 CITY: ORLANDO STATE: FL ZIP: 32804 D 1 primary_doc.xml X0708 D LIVE 0001978920 AdventHealth Surgery Center Innovation Tower, LLC 265 E. ROLLINS STREET SUITE 3100 ORLANDO FL FLORIDA 32804 407-303-9366 FLORIDA None None Limited Liability Company true 2022 Kristin Jimenez 550 E. Rollin Street Orlando FL FLORIDA 32803 Executive Officer Director Warren W. Wylie 2600 Westhall Lane 4th Floor Maitland FL FLORIDA 32751 Executive Officer Director James Kenneth McKelvy 2600 Westhall Lane Suite 300 Maitland FL FLORIDA 32751 Executive Officer Michael Mazeres 2600 Westhall Lane 2nd Floor Maitland FL FLORIDA 32751 Executive Officer Jessica Behmer 601 E. Rollins St. Orlando FL FLORIDA 32803 Executive Officer Director Amy Zbaraschuk 2000 Fowler Grove Blvd. Winter Garden FL FLORIDA 34787 Executive Officer Director . Surgical Investors & Advisors, LLC 3070 Windward Plaza Suite F204 Alpharetta GA GEORGIA 30005 Promoter Patricia Shoults 2600 Westhall Lane 2nd Floor Maitland FL FLORIDA 32751 Executive Officer Director Hospitals and Physicians Decline to Disclose 06b false true false true false 0 1750000 0 1750000 false 0 0 0 0 false AdventHealth Surgery Center Innovation Tower, LLC /s/Patricia Shoults Patricia Shoults President 2023-08-09