0001772778-19-000001.txt : 20190409
0001772778-19-000001.hdr.sgml : 20190409
20190409102901
ACCESSION NUMBER: 0001772778-19-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190409
DATE AS OF CHANGE: 20190409
EFFECTIVENESS DATE: 20190409
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Anderson Surgery Center, LLC
CENTRAL INDEX KEY: 0001772778
IRS NUMBER: 834200085
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-336769
FILM NUMBER: 19738728
BUSINESS ADDRESS:
STREET 1: 6800 STATE ROUTE 162
CITY: MARYVILLE
STATE: IL
ZIP: 62062
BUSINESS PHONE: 618-288-5711
MAIL ADDRESS:
STREET 1: 6800 STATE ROUTE 162
CITY: MARYVILLE
STATE: IL
ZIP: 62062
D
1
primary_doc.xml
X0708
D
LIVE
0001772778
Anderson Surgery Center, LLC
6800 STATE ROUTE 162
MARYVILLE
IL
ILLINOIS
62062
618-288-5711
ILLINOIS
None
None
Limited Liability Company
true
2018
Keith
Page
6800 State Route 162
Maryville
IL
ILLINOIS
62062
Executive Officer
Director
Mike
Marshall
6800 State Route 162
Maryville
IL
ILLINOIS
62062
Executive Officer
Director
Lisa
Klaustermeier
6800 State Route 162
Maryville
IL
ILLINOIS
62062
Executive Officer
Director
Other Health Care
Decline to Disclose
- 06b
false
2019-04-01
false
true
false
25000
750000
150000
600000
false
3
0
0
0
false
Anderson Surgery Center, LLC
/s/ Patrick Paterson
Patrick Paterson
Attorney-in-Fact
2019-04-09