# West Lakes Surgery Center, L.L.C. — Form D

West Lakes Surgery Center, L.L.C. of CLIVE, IA, a company, filed a Form D exempt-offering notice with the SEC on 2013-09-27. The offering totals $78K, of which $78K was reported sold. Industry: Other Health Care.

## Offering

- Filed: 2013-09-27
- Form: D
- Accession: 0001384233-13-000005
- Industry: Other Health Care
- Exemptions: 06b
- Total offering: $78K
- Amount sold: $78K
- Investors: 7
- Date of first sale: 2013-09-06
- Security types: equity
- Revenue range: $5,000,001 - $25,000,000
- SEC file number: 021-203693

## Issuer

- Name: West Lakes Surgery Center, L.L.C.
- CIK: 0001384233
- Entity type: Limited Liability Company
- Jurisdiction: IOWA
- Address: 12499 UNIVERSITY AVENUE, CLIVE, IA, 50325
- Phone: (515) 974-5050

## Officers, directors & promoters (22)

| Name | Role | Location |
| --- | --- | --- |
| Dale Andres MD | Director | Clive, IA |
| Dennis Dornbier MD | Director | Clive, IA |
| Teri Formanek MD | Director | Clive, IA |
| Kathy Goetz MD | Director | Clive, IA |
| William Jacobson MD | Director | Clive, IA |
| Steven Kukla MD | Director | Clive, IA |
| David Lind MD | Director | Clive, IA |
| Timothy Simplot MD | Director | Clive, IA |
| Teri Formanek MD | Executive Officer | Clive, IA |
| William Jacobson MD | Executive Officer | Clive, IA |
| Steven Kukla MD | Executive Officer | Clive, IA |
| Teri Formanek, MD | Director | Clive, IA |
| Teri Formanek, MD | Executive Officer | Clive, IA |
| Tim Simplot, MD | Director | Clive, IA |
| Dennis Dornbier, MD | Director | Clive, IA |
| William Jacobson, MD | Director | Clive, IA |
| William Jacobson, MD | Executive Officer | Clive, IA |
| Mike Wegner | Director | Clive, IA |
| Mike Wegner | Executive Officer | Clive, IA |
| Kathy Goetz | Director | Clive, IA |
| David Lind, MD | Director | Clive, IA |
| Dale Andres, MD | Director | Clive, IA |

## Other filings by this issuer (1)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2015-08-26](https://search.stillhousedata.com/formd/0001384233-15-000002) | D | $654K | $654K |

## More

- [CIK 1384233 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1384233&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001384233-13-000005.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

---

Source: public SEC filing data via Adviser Search (https://search.stillhousedata.com).
Agents: this data is also queryable via MCP tools and read-only SQL — see https://search.stillhousedata.com/llms.txt.