0001648390-15-000001.txt : 20150717 0001648390-15-000001.hdr.sgml : 20150717 20150717134403 ACCESSION NUMBER: 0001648390-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150717 DATE AS OF CHANGE: 20150717 EFFECTIVENESS DATE: 20150717 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Onsite Dental, LLC CENTRAL INDEX KEY: 0001648390 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-243973 FILM NUMBER: 15993410 BUSINESS ADDRESS: STREET 1: 241 18TH STREET SOUTH CITY: ARLINGTON STATE: VA ZIP: 22202 BUSINESS PHONE: 703.412.9260 MAIL ADDRESS: STREET 1: 241 18TH STREET SOUTH CITY: ARLINGTON STATE: VA ZIP: 22202 D 1 primary_doc.xml X0707 D LIVE 0001648390 Onsite Dental, LLC 241 18TH STREET SOUTH ARLINGTON VA VIRGINIA 22202 703.412.9260 DELAWARE None None Limited Liability Company true 2015 Ernest Blackwelder 241 18th Street South Arlington VA VIRGINIA 22202 Executive Officer Director Barry Reynolds 241 18th Street South Arlington VA VIRGINIA 22202 Director Mark Hilderbrand 241 18th Street South Arlington VA VIRGINIA 22202 Director Other Health Care Decline to Disclose 06b false 2015-07-01 false true true Preferred units can convert to Common units false 0 8000000 8000000 0 false 1 0 0 0 false Onsite Dental, LLC /s/ Ernest Blackwelder Ernest Blackwelder Chief Executive Officer 2015-07-15