0001738206-21-000001.txt : 20211012 0001738206-21-000001.hdr.sgml : 20211012 20211008204554 ACCESSION NUMBER: 0001738206-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211012 DATE AS OF CHANGE: 20211008 EFFECTIVENESS DATE: 20211012 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Heartland Dental Holding Corp CENTRAL INDEX KEY: 0001738206 IRS NUMBER: 824640611 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-416445 FILM NUMBER: 211316444 BUSINESS ADDRESS: STREET 1: 1200 NETWORK CENTRE DRIVE CITY: EFFINGHAM STATE: IL ZIP: 62401 BUSINESS PHONE: (217) 540-5100 MAIL ADDRESS: STREET 1: 1200 NETWORK CENTRE DRIVE CITY: EFFINGHAM STATE: IL ZIP: 62401 FORMER COMPANY: FORMER CONFORMED NAME: Hadrian Holding Corp DATE OF NAME CHANGE: 20180420 D 1 primary_doc.xml X0708 D LIVE 0001738206 Heartland Dental Holding Corp 1200 NETWORK CENTRE DRIVE EFFINGHAM IL ILLINOIS 62401 (217) 540-5100 DELAWARE Hadrian Holding Corp Corporation true 2018 Richard Workman 1200 Newtork Centre Drive Effingham IL ILLINOIS 62401 Executive Officer Director Patrick Bauer 1200 Network Centre Drive Effingham IL ILLINOIS 62401 Executive Officer Director Arjun Arora 2800 Sand Hill Road Suite 200 Menlo Park CA CALIFORNIA 94025 Director Max Lin 2800 Sand Hill Road Suite 200 Menlo Park CA CALIFORNIA 94025 Director Nancy Ford 2800 Sand Hill Road Suite 200 Menlo Park CA CALIFORNIA 94025 Director Terry Woodward 5650 Yonge Street Toronto A6 ONTARIO, CANADA M2M4H5 Director Travis Franklin 1200 Network Centre Drive Effingham IL ILLINOIS 62401 Executive Officer Stacy DeWalt 1200 Network Centre Drive Effingham IL ILLINOIS 62401 Executive Officer DeAnn McClain 1200 Network Centre Drive Effingham IL ILLINOIS 62401 Executive Officer Craig Kabbes 1200 Network Centre Drive Effingham IL ILLINOIS 62401 Executive Officer Mark Greenstein 1200 Network Centre Drive Effingham IL ILLINOIS 62401 Executive Officer John Pantazis 1200 Network Centre Drive Effingham IL ILLINOIS 62401 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 100000 Indefinite 0 Indefinite true 0 0 0 0 0 false Heartland Dental Holding Corp /s/ Travis Franklin Travis Franklin Executive Vice President and Chief Financial Officer 2021-10-08