0001463790-18-000001.txt : 20180123 0001463790-18-000001.hdr.sgml : 20180123 20180123162100 ACCESSION NUMBER: 0001463790-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180123 DATE AS OF CHANGE: 20180123 EFFECTIVENESS DATE: 20180123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surgical Caregivers of Fort Worth, LLC CENTRAL INDEX KEY: 0001463790 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-303917 FILM NUMBER: 18542614 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE STREET 2: SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 8178774777 MAIL ADDRESS: STREET 1: 2001 W. ROSEDALE STREET CITY: FORT WORTH STATE: TX ZIP: 76104 FORMER COMPANY: FORMER CONFORMED NAME: Surgical Caregivers of Fort Worth, L.P. DATE OF NAME CHANGE: 20090508 D 1 primary_doc.xml X0708 D LIVE 0001463790 Surgical Caregivers of Fort Worth, LLC 2001 W. Rosedale Fort Worth TX TEXAS 76104 8178774777 TEXAS Surgical Caregivers of Fort Worth, L.P. Limited Liability Company true 2013 Chip Zahn 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer Tim Szott 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Jeffrey Canose 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer Joseph DeLeon 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Theodore Margo 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director William Van Wyk 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director Michael Thornsberry 2001 W. Rosedale Fort Worth TX TEXAS 76104 Director John Mitchell 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer Rick McWhorter 2001 W. Rosedale Fort Worth TX TEXAS 76104 Executive Officer 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 TX TEXAS false 396916 0 396916 false 0 0 0 0 false Surgical Caregivers of Fort Worth, LLC /s/ Cade Morgan Cade Morgan Attorney for Issuer 2018-01-23