0001779556-21-000001.txt : 20210604 0001779556-21-000001.hdr.sgml : 20210604 20210604145150 ACCESSION NUMBER: 0001779556-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20210604 DATE AS OF CHANGE: 20210604 EFFECTIVENESS DATE: 20210604 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Texas Health Surgery Center Willow Park, LLC CENTRAL INDEX KEY: 0001779556 IRS NUMBER: 841953918 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-401814 FILM NUMBER: 21996089 BUSINESS ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: 205-545-2734 MAIL ADDRESS: STREET 1: 569 BROOKWOOD VILLAGE, SUITE 901 CITY: BIRMINGHAM STATE: AL ZIP: 35209 D 1 primary_doc.xml X0708 D LIVE 0001779556 Texas Health Surgery Center Willow Park, LLC 569 BROOKWOOD VILLAGE, SUITE 901 BIRMINGHAM AL ALABAMA 35209 205-545-2734 TEXAS None None Limited Liability Company true 2019 Holdings, LLC THR-SCA 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Promoter Sole Member of Issuer Jeffrey Canose, M.D. 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Chip Zahn 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer John Mitchell 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Rick McWhorter 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 Executive Officer Other Health Care Decline to Disclose 04 false 2021-05-21 false true false 0 SCA Development, LLC 35451 None None 569 Brookwood Village, Suite 901 Birmingham AL ALABAMA 35209 TX TEXAS false 735000 735000 0 false 5 25000 true 0 0 false Texas Health Surgery Center Willow Park, LLC Chip Zahn Chip Zahn VP and Secretary 2021-06-04