0002099164-25-000002.txt : 20251203 0002099164-25-000002.hdr.sgml : 20251203 20251203153331 ACCESSION NUMBER: 0002099164-25-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20251203 DATE AS OF CHANGE: 20251203 EFFECTIVENESS DATE: 20251203 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Imagen Kirkpatrick Dentistry Support Services, LLC CENTRAL INDEX KEY: 0002099164 ORGANIZATION NAME: EIN: 394180741 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-565663 FILM NUMBER: 251546291 BUSINESS ADDRESS: STREET 1: 16220 NORTH SCOTTSDALE ROAD STREET 2: SUITE 400 CITY: SCOTTSDALE STATE: AZ ZIP: 85254 BUSINESS PHONE: 4805903396 MAIL ADDRESS: STREET 1: 16220 NORTH SCOTTSDALE ROAD 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: EIN: 845189859 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-565663-01 FILM NUMBER: 251546292 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 0002099164 Imagen Kirkpatrick Dentistry Support Services, LLC 16220 NORTH SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 4805903396 DELAWARE None None Limited Liability Company true 2025 0001819319 IMAGEN DENTAL PARTNERS, LLC 16220 NORTH SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 4805903396 DELAWARE None None Limited Liability Company true Rezwan Manji 16220 NORTH SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 Executive Officer Rezwan Manji is an executive officer of Imagen Kirkpatrick 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 Kirkpatrick Support Services, LLC and Imagen Dental Partners, LLC. Other Health Care Decline to Disclose 06b false 2025-11-20 false true true 0 762571 762571 0 false 1 0 0 0 false Imagen Kirkpatrick Dentistry Support Services, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2025-12-03 IMAGEN DENTAL PARTNERS, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2025-12-03