0001898169-24-000002.txt : 20240307 0001898169-24-000002.hdr.sgml : 20240307 20240307124421 ACCESSION NUMBER: 0001898169-24-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240307 DATE AS OF CHANGE: 20240307 EFFECTIVENESS DATE: 20240307 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bloomfield ASC, LLC CENTRAL INDEX KEY: 0001989827 ORGANIZATION NAME: IRS NUMBER: 474758895 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-506943 FILM NUMBER: 24729126 BUSINESS ADDRESS: STREET 1: 580 COTTAGE GROVE RD STREET 2: SUITE 211 CITY: BLOOMFIELD STATE: CT ZIP: 06002 BUSINESS PHONE: (860) 242-2193 MAIL ADDRESS: STREET 1: 580 COTTAGE GROVE RD STREET 2: SUITE 211 CITY: BLOOMFIELD STATE: CT ZIP: 06002 D 1 primary_doc.xml X0708 D LIVE 0001989827 Bloomfield ASC, LLC 580 COTTAGE GROVE RD SUITE 211 BLOOMFIELD CT CONNECTICUT 06002 (860) 242-2193 CONNECTICUT None None Limited Liability Company true Ladd W. Mark 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Executive Officer Marc Lederman 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Executive Officer Director Seth M. Brown, M.D. 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Stephen Wolfe 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Andrew Epstein 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director David Jeng 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Jeffrey Martone 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Gina Mondo 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Jennifer Gale 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Deirdre Hennessey 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Stacey Taylor 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Paul Abbate 580 Cottage Grove Road Suite 211 Bloomfield CT CONNECTICUT 06002 Director Other Health Care Decline to Disclose 06b false 2024-03-04 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CT CONNECTICUT false 527828 98330 429498 false 2 0 0 0 false Bloomfield ASC, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2024-03-07