0001933646-22-000001.txt : 20220630 0001933646-22-000001.hdr.sgml : 20220630 20220630161208 ACCESSION NUMBER: 0001933646-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220630 DATE AS OF CHANGE: 20220630 EFFECTIVENESS DATE: 20220630 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Imagen Stanton Smiles Support Services, LLC CENTRAL INDEX KEY: 0001933646 IRS NUMBER: 882669557 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-450866 FILM NUMBER: 221058163 BUSINESS ADDRESS: STREET 1: 16220 N. SCOTTSDALE ROAD STREET 2: SUITE 300 CITY: SCOTTSDALE STATE: AZ ZIP: 85254 BUSINESS PHONE: 480-590-5701 MAIL ADDRESS: STREET 1: 16220 N. SCOTTSDALE ROAD STREET 2: SUITE 300 CITY: SCOTTSDALE STATE: AZ ZIP: 85254 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: 021-450866-01 FILM NUMBER: 221058164 BUSINESS ADDRESS: STREET 1: 16220 N. SCOTTSDALE ROAD, SUITE 300 CITY: SCOTTSDALE STATE: AZ ZIP: 85254 BUSINESS PHONE: 480-590-5701 MAIL ADDRESS: STREET 1: 16220 N. SCOTTSDALE ROAD, SUITE 300 CITY: SCOTTSDALE STATE: AZ ZIP: 85254 D 1 primary_doc.xml X0708 D LIVE 0001933646 Imagen Stanton Smiles Support Services, LLC 16220 N. SCOTTSDALE ROAD SUITE 300 SCOTTSDALE AZ ARIZONA 85254 480-590-5701 DELAWARE None None Limited Liability Company true 2022 0001819319 IMAGEN DENTAL PARTNERS, LLC 16220 N. SCOTTSDALE ROAD, SUITE 300 SCOTTSDALE AZ ARIZONA 85254 480-590-5701 DELAWARE None None Limited Liability Company true 2020 Rezwan Manji 16220 N. Scottsdale Rd. Suite 300 Scottsdale AZ ARIZONA 85254 Executive Officer Michael Augins 16220 N. Scottsdale Rd. Suite 300 Scottsdale AZ ARIZONA 85254 Executive Officer Michael Augins is an executive officer of Imagen Dental Partners, LLC and Imagen Stanton Smiles Support Services, LLC Other Health Care Decline to Disclose 06b false 2022-06-22 false true true 0 1375000 1375000 0 false 1 0 0 0 true Imagen Stanton Smiles Support Services, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2022-06-17