0001532437-23-000002.txt : 20230505 0001532437-23-000002.hdr.sgml : 20230505 20230505153308 ACCESSION NUMBER: 0001532437-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230505 DATE AS OF CHANGE: 20230505 EFFECTIVENESS DATE: 20230505 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: 021-480973 FILM NUMBER: 23893492 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. 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 (800) 880-8589 DELAWARE None None Corporation true Robert Gershon 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Executive Officer Director William Cowen 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Director Bart Doedens 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Director Grant Gund 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Director Leonard Hedge 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Director Timothy Petersen 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Director Jhung Vojir 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Executive Officer Mark Collins 100 Fifth Avenue Suite 1010 Waltham MA MASSACHUSETTS 02451 Executive Officer Other Health Care Decline to Disclose 06b false 2023-04-20 false true true false 0 Indefinite 10136176 Indefinite The total amount sold included the conversion of certain convertible promissory notes previously issued by the Issuer. false 39 0 0 0 false Convergent Dental, Inc. /s/ Mark Collins Mark Collins Chief Financial Officer 2023-05-05