0001140361-15-033489.txt : 20150826
0001140361-15-033489.hdr.sgml : 20150826
20150826143657
ACCESSION NUMBER: 0001140361-15-033489
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150826
DATE AS OF CHANGE: 20150826
EFFECTIVENESS DATE: 20150826
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: AUDUBON AMBULATORY SURGERY CENTER LLC
CENTRAL INDEX KEY: 0001076722
IRS NUMBER: 000000000
STATE OF INCORPORATION: CO
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-246486
FILM NUMBER: 151075672
BUSINESS ADDRESS:
STREET 1: 3204 N ACADEMY BLVD
STREET 2: 200
CITY: COLORADO SPRINGS
STATE: CO
ZIP: 80917
BUSINESS PHONE: 719-867-7500
MAIL ADDRESS:
STREET 1: 3030 N. CIRCLE DRIVE
CITY: COLORADO SPRINGS
STATE: CO
ZIP: 80909
D
1
primary_doc.xml
X0707
D
LIVE
0001076722
AUDUBON AMBULATORY SURGERY CENTER LLC
3030 N. Circle Drive
Colorado Springs
CO
COLORADO
80909
719-867-7500
COLORADO
Audobon Ambulatory Surgery Center, LLC
None
Limited Liability Company
true
Jameson
C.
Smith
Penrose Hospital
2222 North Nevada
Colorado Springs
CO
COLORADO
80907
Director
Related Person as of the Date of First Sale in this Offering
Daniel
J.
Reeves
Penrose Hospital
2222 North Nevada
Colorado Springs
CO
COLORADO
80907
Director
Related Person as of the Date of First Sale in this Offering
Lonnie
R.
Kraemer
Penrose Hospital
2222 North Nevada
Colorado Springs
CO
COLORADO
80907
Director
Related Person as of the Date of First Sale in this Offering
Mark
D.
Hartmann
Penrose Hospital
2222 North Nevada
Colorado Springs
CO
COLORADO
80907
Director
Related Person as of the Date of First Sale in this Offering
Wallace
Larson
Front Range Orthopaedics
4105 Briargate Parkway #300
Colorado Springs
CO
COLORADO
80920
Director
Related Person as of the Date of First Sale in this Offering
Jeffrey
A.
Moody
Pikes Peak Urology
6071 E. Woodmen Rd, Suite 300
Colorado Springs
CO
COLORADO
80923
Executive Officer
Director
Related Person as of the Date of First Sale in this Offering
Ihor
J.
Fedorak
CSSA 6011 E. Woodmen Ste. 345
Colorado Springs
CO
COLORADO
80923
Director
Related Person as of the Date of First Sale in this Offering
Michael
J.
McCann
6071 E. Woodmen Ste. 340
Colorado Springs
CO
COLORADO
80923
Director
Related Person as of the Date of First Sale in this Offering
Hospitals and Physicians
Decline to Disclose
- 06b
false
2015-07-31
false
true
true
0
5278000
5278000
0
false
26
0
0
0
false
AUDUBON AMBULATORY SURGERY CENTER LLC
/s/ Jeffrey Moody, M.D.
Jeffrey Moody, M.D.
President
2015-08-26