0001989827-23-000001.txt : 20230817 0001989827-23-000001.hdr.sgml : 20230817 20230817111242 ACCESSION NUMBER: 0001989827-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230817 DATE AS OF CHANGE: 20230817 EFFECTIVENESS DATE: 20230817 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bloomfield ASC, LLC CENTRAL INDEX KEY: 0001989827 IRS NUMBER: 474758895 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-489989 FILM NUMBER: 231180429 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 Gina Mondo 580 Cottage Grove Rd Ste 211 Bloomfield CT CONNECTICUT 06002 Director Marc Lederman 580 Cottage Grove Rd Ste 211 Bloomfield CT CONNECTICUT 06002 Director Jeffrey Martone 580 Cottage Grove Rd Ste 211 Bloomfield CT CONNECTICUT 06002 Director Andrew Epstein 580 Cottage Grove Rd Ste 211 Bloomfield CT CONNECTICUT 06002 Director Seth Brown 580 Cottage Grove Rd Ste 211 Bloomfield CT CONNECTICUT 06002 Director Stephen Wolfe 580 Cottage Grove Rd Ste 211 Bloomfield CT CONNECTICUT 06002 Director David Jeng 580 Cottage Grove Rd Ste 211 Bloomfield CT CONNECTICUT 06002 Director Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CT CONNECTICUT false 1070567 0 1070567 false 0 0 0 0 false Bloomfield ASC, LLC /s/ Meagan Jones Meagan Jones Attorney for Issuer 2023-08-17