0001974852-23-000001.txt : 20230425 0001974852-23-000001.hdr.sgml : 20230425 20230425165933 ACCESSION NUMBER: 0001974852-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230425 DATE AS OF CHANGE: 20230425 EFFECTIVENESS DATE: 20230425 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Smile Source Holdings, L.P. CENTRAL INDEX KEY: 0001974852 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-479952 FILM NUMBER: 23845663 BUSINESS ADDRESS: STREET 1: 625 LIBERTY AVENUE STREET 2: SUITE 2300 CITY: PITTSBURGH STATE: PA ZIP: 15222 BUSINESS PHONE: 7132940553 MAIL ADDRESS: STREET 1: 625 LIBERTY AVENUE STREET 2: SUITE 2300 CITY: PITTSBURGH STATE: PA ZIP: 15222 D 1 primary_doc.xml X0708 D LIVE 0001974852 Smile Source Holdings, L.P. c/o Incline Management, L.P. 625 Liberty Avenue, Suite 2300 PITTSBURGH PA PENNSYLVANIA 15222 7132940553 DELAWARE None None Limited Partnership true 2023 Gregg Groenemann 6014 White Birch Run Spring TX TEXAS 77386 Executive Officer Director President, Chief Executive Officer and Secretary Sherry Wilson 2111 Misty River Trail Kingwood TX TEXAS 77345 Executive Officer Chief Financial Officer, Treasurer and Assistant Secretary Daniel Walker 7339 Grand Blvd. Navarre Beach FL FLORIDA 32566 Executive Officer Chief Operating Officer John C. Glover 625 Liberty Avenue Suite 2300 Pittsburgh PA PENNSYLVANIA 15222 Director Robert Erwin 625 Liberty Avenue Suite 2300 Pittsburgh PA PENNSYLVANIA 15222 Director Bradley Phillips 625 Liberty Avenue Suite 2300 Pittsburgh PA PENNSYLVANIA 15222 Director Eric Haufler 625 Liberty Avenue Suite 2300 Pittsburgh PA PENNSYLVANIA 15222 Director Other Health Care Decline to Disclose 06b false 2023-03-29 false true true 0 32171371 32171371 0 false 8 0 0 0 false Smile Source Holdings, L.P. /s/ Gregg Groenemann Gregg Groenemann President, Chief Executive Officer and Secretary 2023-04-25