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  5. Surgical Care Affiliates, LLC

Surgical Care Affiliates, LLC

Details

Name: Surgical Care Affiliates, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 23 Jan 2007 (18 years ago)
Entity Number: 000-613-129
Register Number: 000613129
Historical Names: Surgery Holdings, LLC
ZIP code: 35244
County: Jefferson
Place of Formation: Delaware
Principal Address: 3000 RIVERCHASE GALLERIA STE 500BIRMINGHAM, AL 35244
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Activities MEDICAL

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
50V40 Active Non-Manufacturer 2008-03-17 2015-02-10 No data No data

Contact Information
POC PAUL DAVIS
Phone +1 205-545-2581
Fax +1 205-439-4715
Address 3000 RIVERCHASE GALLERIA STE 500, BIRMINGHAM, AL, 35244 2365, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCA RESPONSIBLE EMPLOYEE SAFETY & HEALTH PLAN 2012 208922307 2014-01-22 SURGICAL CARE AFFILIATES, LLC 372
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 8007680094
Plan sponsor’s mailing address P.O. BOX 382497, BIRMINGHAM, AL, 352382497
Plan sponsor’s address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244

Number of participants as of the end of the plan year
Active participants 484
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-01-22
Name of individual signing RICH SHARFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-22
Name of individual signing RICH SHARFF
Valid signature Filed with authorized/valid electronic signature
SCA RESPONSIBLE EMPLOYEE SAFETY & HEALTH PLAN 2011 208922307 2013-01-29 SURGICAL CARE AFFILIATES, LLC 448
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 8007680094
Plan sponsor’s mailing address P.O. BOX 382497, BIRMINGHAM, AL, 352382497
Plan sponsor’s address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244

Plan administrator’s name and address
Administrator’s EIN 208922307
Plan administrator’s name SURGICAL CARE AFFILIATES, LLC
Plan administrator’s address P.O. BOX 382497, BIRMINGHAM, AL, 352382497
Administrator’s telephone number 8007680094

Number of participants as of the end of the plan year
Active participants 372
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-01-29
Name of individual signing RICH SHARFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-29
Name of individual signing RICH SHARFF
Valid signature Filed with authorized/valid electronic signature
SURGICAL CARE AFFILIATES WELFARE BENEFIT PLAN 2010 208922307 2011-07-19 SURGICAL CARE AFFILIATES 3373
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-07-01
Business code 621493
Sponsor’s telephone number 2055452700
Plan sponsor’s mailing address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244
Plan sponsor’s address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244

Plan administrator’s name and address
Administrator’s EIN 208922307
Plan administrator’s name SURGICAL CARE AFFILIATES
Plan administrator’s address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244
Administrator’s telephone number 2055452700

Number of participants as of the end of the plan year
Active participants 3410
Retired or separated participants receiving benefits 74
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing RICH SCHARFF
Valid signature Filed with incorrect/unrecognized electronic signature
SURGICAL CARE AFFILIATES WELFARE BENEFIT PLAN 2009 208922307 2010-11-12 SURGICAL CARE AFFILIATES 3572
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-07-01
Business code 621493
Sponsor’s telephone number 2055452700
Plan sponsor’s mailing address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244
Plan sponsor’s address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244

Plan administrator’s name and address
Administrator’s EIN 208922307
Plan administrator’s name SURGICAL CARE AFFILIATES
Plan administrator’s address 3000 RIVERCHASE GALLERIA, SUITE 500, BIRMINGHAM, AL, 35244
Administrator’s telephone number 2055452700

Number of participants as of the end of the plan year
Active participants 3324
Retired or separated participants receiving benefits 49
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-11-12
Name of individual signing JAMES LLEWELLYN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Events

Event Date Event Type Old Value New Value
2007-06-22 Name Change Surgery Holdings, LLC Surgical Care Affiliates, LLC

Related by officers

C T CORPORATION SYSTEM

Affinia Title LLC Crown Castle Solutions LLC Bolttech Mannings, Inc. BSNR Overline, L.P. Sam's West, Inc. Media Services, Inc. Alabama Artificial Limb & Orthopedic Service, Inc. Mazak Optonics Corporation Alabama T. V. Cable, Inc. L & L Carpet Discount Centers, Inc.

Related by address

3000 RIVERCHASE GALLERIA STE 500BIRMINGHAM, AL 35244

Surgical Care Affiliates Foundation SCA Community Service Foundation SCA Teammate Support Network Physician Alliance for Clinical Research, LLC SCA Surgery Holdings, LLC

2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Media Services, Inc. Alabama T. V. Cable, Inc. Johnson Outdoors Marine Electronics, Inc. CitiCapital Commercial Corporation Associates Financial Services Company of Alabama, Inc. Associates Financial Services Company, Inc. Bama Supply Company, Inc. Bearings, Inc. Bon Secour Properties Inc. Berney, Inc.

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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