0001532437-21-000002.txt : 20210827 0001532437-21-000002.hdr.sgml : 20210827 20210827170311 ACCESSION NUMBER: 0001532437-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210827 DATE AS OF CHANGE: 20210827 EFFECTIVENESS DATE: 20210827 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Convergent Dental, Inc. CENTRAL INDEX KEY: 0001532437 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-411572 FILM NUMBER: 211219959 BUSINESS ADDRESS: STREET 1: 140 KENDRICK STREET STREET 2: BLDG. C-3 CITY: NEEDHAM STATE: MA ZIP: 02494 BUSINESS PHONE: (800) 880-8589 MAIL ADDRESS: STREET 1: 140 KENDRICK STREET STREET 2: BLDG. C-3 CITY: NEEDHAM STATE: MA ZIP: 02494 D 1 primary_doc.xml X0708 D LIVE 0001532437 Convergent Dental, Inc. 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 508-655-02770 DELAWARE None None Corporation true Michael J. Cataldo 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 Executive Officer Director William R. Cowen 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 Director Bart P. Doedens 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 Director Grant Gund 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 Director Leonard Hedge 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 Director Timothy B. Petersen 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 Director Mark Collins 140 Kendrick Street Bldg. C3 Needham MA MASSACHUSETTS 02494 Executive Officer Other Health Care Decline to Disclose 06b false 2021-08-06 false true false 0 40000000 40000000 0 false 20 0 0 0 true false Convergent Dental, Inc. /s/Michael J. Cataldo Michael J. Cataldo President 2021-08-23