0002039944-24-000001.txt : 20241029 0002039944-24-000001.hdr.sgml : 20241029 20241029160155 ACCESSION NUMBER: 0002039944-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241029 DATE AS OF CHANGE: 20241029 EFFECTIVENESS DATE: 20241029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Imagen Pleasant Dentistry Support Services, LLC CENTRAL INDEX KEY: 0002039944 ORGANIZATION NAME: IRS NUMBER: 994477219 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-528073 FILM NUMBER: 241405624 BUSINESS ADDRESS: STREET 1: 16220 NORTH SCOTTSDALE STREET 2: SUITE 400 CITY: SCOTTSDALE STATE: AZ ZIP: 85254 BUSINESS PHONE: (480) 590-3396 MAIL ADDRESS: STREET 1: 16220 NORTH SCOTTSDALE STREET 2: SUITE 400 CITY: SCOTTSDALE STATE: AZ ZIP: 85254 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IMAGEN DENTAL PARTNERS, LLC CENTRAL INDEX KEY: 0001819319 ORGANIZATION NAME: IRS NUMBER: 845189859 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-528073-01 FILM NUMBER: 241405625 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 0002039944 Imagen Pleasant Dentistry Support Services, LLC 16220 N. SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 (480) 590-3396 DELAWARE None None Limited Liability Company true 2024 0001819319 IMAGEN DENTAL PARTNERS, LLC 16220 N. SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 (480) 590-3396 DELAWARE None None Limited Liability Company true 2020 Rezwan Manji 16220 North Scottsdale Road Suite 400 Scottsdale AZ ARIZONA 85254 Executive Officer Rezwan Manji is an executive officer of Imagen Pleasant Dentistry Support Services, LLC and Imagen Dental Partners, LLC. Michael Augins 16220 North Scottsdale Road Suite 400 Scottsdale AZ ARIZONA 85254 Executive Officer Michael Augins is an executive officer of Imagen Pleasant Dentistry Support Services, LLC and Imagen Dental Partners, LLC. Other Health Care Decline to Disclose 06b false 2024-10-28 false true true 0 1451745 1451745 0 false 1 0 0 0 false Imagen Pleasant Dentistry Support Services, LLC /s/Rezwan Manji Rezwan Manji Chief Execute Officer 2024-10-28 IMAGEN DENTAL PARTNERS, LLC /s/Rezwan Manji Rezwan Manji Chief Execute Officer 2024-10-28