0001498399-21-000001.txt : 20210112 0001498399-21-000001.hdr.sgml : 20210112 20210112114415 ACCESSION NUMBER: 0001498399-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210112 DATE AS OF CHANGE: 20210112 EFFECTIVENESS DATE: 20210112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cedar Park Surgery Center, LLC CENTRAL INDEX KEY: 0001498399 IRS NUMBER: 272533497 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-385960 FILM NUMBER: 21522826 BUSINESS ADDRESS: STREET 1: 351 CYPRESS CREEK ROAD, SUITE 102 CITY: CEDAR PARK STATE: TX ZIP: 78613 BUSINESS PHONE: 2055452734 MAIL ADDRESS: STREET 1: 351 CYPRESS CREEK ROAD, SUITE 102 CITY: CEDAR PARK STATE: TX ZIP: 78613 D 1 primary_doc.xml X0708 D LIVE 0001498399 Cedar Park Surgery Center, LLC 351 CYPRESS CREEK ROAD, SUITE 102 CEDAR PARK TX TEXAS 78613 2055452734 TEXAS None None Limited Liability Company true Lanna Domangue 351 Cypress Creek Rd. Suite 102 Cedar Park TX TEXAS 78613 Director Member of Issuer's Board of Managers Cullen Scott 351 Cypress Creek Rd. Suite 102 Cedar Park TX TEXAS 78613 Director Member of Issuer's Board of Managers. Adam Bauman 351 Cypress Creek Rd. Suite 102 Cedar Park TX TEXAS 78613 Director Member of Issuer's Board of Managers Edward Bombach 351 Cypress Creek Rd. Suite 102 Cedar Park TX TEXAS 78613 Director Member of Issuer's Board of Managers Douglas Graham 351 Cypress Creek Rd. Suite 102 Cedar Park TX TEXAS 78613 Director Member of Issuer's Board of Managers Bo Beaudry 351 Cypress Creek Rd. Suite 102 Cedar Park TX TEXAS 78613 Director Member of Issuer's Board of Managers Mitch Fransen 351 Cypress Creek Rd. Suite 102 Cedar Park TX TEXAS 78613 Director Member of Issuer's Board of Managers Other Health Care Decline to Disclose 06b false 2021-01-04 false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 44713 15033 29680 false 1 0 0 0 false Cedar Park Surgery Center, LLC /s/ Nathan Simpson Nathan Simpson Attorney for Issuer 2021-01-12