0000897069-18-000658.txt : 20181227
0000897069-18-000658.hdr.sgml : 20181227
20181227164257
ACCESSION NUMBER: 0000897069-18-000658
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20181227
DATE AS OF CHANGE: 20181227
EFFECTIVENESS DATE: 20181227
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medford Surgery Center, LLC
CENTRAL INDEX KEY: 0001762536
IRS NUMBER: 384079196
STATE OF INCORPORATION: MA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-329047
FILM NUMBER: 181255073
BUSINESS ADDRESS:
STREET 1: CROWN COLONY PARK
STREET 2: 700 CONGRESS STREET
CITY: QUINCY
STATE: MA
ZIP: 02169
BUSINESS PHONE: (800) 258-4674
MAIL ADDRESS:
STREET 1: CROWN COLONY PARK
STREET 2: 700 CONGRESS STREET
CITY: QUINCY
STATE: MA
ZIP: 02169
D
1
primary_doc.xml
X0708
D
LIVE
0001762536
Medford Surgery Center, LLC
CROWN COLONY PARK
700 CONGRESS STREET
QUINCY
MA
MASSACHUSETTS
02169
(800) 258-4674
MASSACHUSETTS
None
None
Limited Liability Company
true
2018
--
Shields ASC, LLC
Crown Colony Park
700 Congress Street
Quincy
MA
MASSACHUSETTS
02169
Executive Officer
Managing Member
Thomas
Shields
Crown Colony Park
700 Congress Street
Quincy
MA
MASSACHUSETTS
02169
Executive Officer
Director
Promoter
Executive Officer of Manager of Managing Member and Promoter of Issuer.
Sarah
Modine
Crown Colony Park
700 Congress Street
Quincy
MA
MASSACHUSETTS
02169
Promoter
Peter
Ferrari
Crown Colony Park
700 Congress Street
Quincy
MA
MASSACHUSETTS
02169
Director
Promoter
Other Health Care
Decline to Disclose
- 06b
false
2018-12-12
false
true
false
27000
1350000
1350000
0
false
9
0
0
0
false
Medford Surgery Center, LLC
Thomas A. Shields
Thomas A. Shields
Manager of SFE IV, LLC, Manager of the Managing Member
2018-12-27