0002112249-26-000002.txt : 20260219 0002112249-26-000002.hdr.sgml : 20260219 20260219135400 ACCESSION NUMBER: 0002112249-26-000002 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: 20260219 DATE AS OF CHANGE: 20260219 EFFECTIVENESS DATE: 20260219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Imagen Smiles on Clark Support Services, LLC CENTRAL INDEX KEY: 0002112249 ORGANIZATION NAME: EIN: 413250691 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-574036 FILM NUMBER: 26653530 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: 021-574036-01 FILM NUMBER: 26653531 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 0002112249 Imagen Smiles on Clark Support Services, LLC 16220 NORTH SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 4805903396 DELAWARE None None Limited Liability Company true 2026 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 Dental Partners, LLC and Imagen Smiles on Clark Support Services, LLC. Michael Augins 16220 NORTH SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 Executive Officer Michael Augins is an executive officer of Imagen Dental Partners, LLC and Imagen Smiles on Clark Support Services, LLC. Other Health Care Decline to Disclose 06b false 2026-02-06 false true true 0 879299 879299 0 false 1 0 0 0 false Imagen Smiles on Clark Support Services, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2026-02-19 IMAGEN DENTAL PARTNERS, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2026-02-19