0001819319-20-000007.txt : 20201110 0001819319-20-000007.hdr.sgml : 20201110 20201110153802 ACCESSION NUMBER: 0001819319-20-000007 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201110 DATE AS OF CHANGE: 20201110 EFFECTIVENESS DATE: 20201110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IMAGEN DENTAL PARTNERS, LLC CENTRAL INDEX KEY: 0001819319 IRS NUMBER: 845189859 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-380215 FILM NUMBER: 201300940 BUSINESS ADDRESS: STREET 1: 6320 EAST THOMAS ROAD, SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 BUSINESS PHONE: 480-590-5701 MAIL ADDRESS: STREET 1: 6320 EAST THOMAS ROAD, SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IMAGEN BAYSHORE SUPPORT SERVICES, LLC CENTRAL INDEX KEY: 0001830304 IRS NUMBER: 853455575 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-380215-01 FILM NUMBER: 201300941 BUSINESS ADDRESS: STREET 1: 6320 EAST THOMAS ROAD, SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 BUSINESS PHONE: 480-590-5701 MAIL ADDRESS: STREET 1: 6320 EAST THOMAS ROAD, SUITE 100 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 D 1 primary_doc.xml X0708 D LIVE 0001819319 IMAGEN DENTAL PARTNERS, LLC 6320 EAST THOMAS ROAD, SUITE 100 SCOTTSDALE AZ ARIZONA 85251 480-590-5701 DELAWARE None None Limited Liability Company true 2020 0001830304 IMAGEN BAYSHORE SUPPORT SERVICES, LLC 6320 EAST THOMAS ROAD, SUITE 100 SCOTTSDALE AZ ARIZONA 85251 480-590-5701 DELAWARE None None Limited Liability Company true 2020 Rezwan Manji 6320 East Thomas Road, Suite 100 Scottsdale AZ ARIZONA 85251 Executive Officer Michael Augins 6320 East Thomas Road, Suite 100 Scottsdale AZ ARIZONA 85251 Executive Officer Mike Augins is an executive officer of Imagen Dental Partners, LLC and Imagen Bayshore Support Services, LLC. Other Health Care Decline to Disclose 06b false true false true true 0 445000 0 445000 false 0 0 0 0 true IMAGEN DENTAL PARTNERS, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2020-11-10