0001702474-17-000001.txt : 20170330 0001702474-17-000001.hdr.sgml : 20170330 20170330161321 ACCESSION NUMBER: 0001702474-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170330 DATE AS OF CHANGE: 20170330 EFFECTIVENESS DATE: 20170330 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PREMIER DENTAL GROUP HI Inc CENTRAL INDEX KEY: 0001702474 IRS NUMBER: 815372894 STATE OF INCORPORATION: HI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283715 FILM NUMBER: 17725821 BUSINESS ADDRESS: STREET 1: 98-211 PALI MOMI STREET, SUITE 737 CITY: HONOLULU STATE: HI ZIP: 96701 BUSINESS PHONE: 8085648263 MAIL ADDRESS: STREET 1: 98-211 PALI MOMI STREET, SUITE 737 CITY: HONOLULU STATE: HI ZIP: 96701 D 1 primary_doc.xml X0707 D LIVE 0001702474 PREMIER DENTAL GROUP HI Inc 98-211 PALI MOMI STREET, SUITE 737 HONOLULU HI HAWAII 96701 8085648263 HAWAII None None Corporation true 2017 GLENN Y TAKAKI 98-211 PALI MOMI STREET, SUITE 737 HONOLULU HI HAWAII 96701 Executive Officer Director Other Decline to Disclose 06b false 2017-03-17 false true false 10 10 10 0 false 1 0 0 0 false PREMIER DENTAL GROUP HI Inc CATHERINE A. TASCHNER CATHERINE A. TASCHNER ATTORNEY IN FACT FOR GLENN Y. TAKAKI, PRESIDENT 2017-03-30