0002151533-26-000001.txt : 20260824 0002151533-26-000001.hdr.sgml : 20260824 20260821174719 ACCESSION NUMBER: 0002151533-26-000001 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: 20260824 DATE AS OF CHANGE: 20260821 EFFECTIVENESS DATE: 20260824 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Imagen Fossil Creek Dental Support Services, LLC CENTRAL INDEX KEY: 0002151533 ORGANIZATION NAME: EIN: 415058557 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-595080 FILM NUMBER: 261305929 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: 021-595080-01 FILM NUMBER: 261305930 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 0002151533 Imagen Fossil Creek Dental 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 Fossil Creek Dental Support Services, LLC. David Diekmann 16220 NORTH SCOTTSDALE ROAD SUITE 400 SCOTTSDALE AZ ARIZONA 85254 Executive Officer David Diekmann is an executive officer of Imagen Dental Partners, LLC and Imagen Fossil Creek Dental Support Services, LLC. Other Health Care Decline to Disclose 06b false 2026-08-14 false true true 0 589843 589843 0 false 1 0 0 0 false Imagen Fossil Creek Dental Support Services, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2026-08-21 IMAGEN DENTAL PARTNERS, LLC /s/ Rezwan Manji Rezwan Manji Chief Executive Officer 2026-08-21