0001873193-21-000001.txt : 20210726 0001873193-21-000001.hdr.sgml : 20210726 20210726091149 ACCESSION NUMBER: 0001873193-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210726 DATE AS OF CHANGE: 20210726 EFFECTIVENESS DATE: 20210726 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Valleygate Dental Surgery Center of Fayetteville LLC CENTRAL INDEX KEY: 0001873193 IRS NUMBER: 814699402 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-407682 FILM NUMBER: 211112628 BUSINESS ADDRESS: STREET 1: 2028 LITHO PLACE STREET 2: SUITE 300 CITY: FAYETTEVILLE STATE: NC ZIP: 28304-3761 BUSINESS PHONE: 910-485-7070 MAIL ADDRESS: STREET 1: 2028 LITHO PLACE STREET 2: SUITE 300 CITY: FAYETTEVILLE STATE: NC ZIP: 28304-3761 D 1 primary_doc.xml X0708 D LIVE 0001873193 Valleygate Dental Surgery Center of Fayetteville LLC 2028 LITHO PLACE SUITE 300 FAYETTEVILLE NC NORTH CAROLINA 28304-3761 910-485-7070 NORTH CAROLINA None None Limited Liability Company true 2020 n/a Valleygate Dental Surgery Center Holdings, LLC 2028 Litho Place Suite 300 Fayetteville NC NORTH CAROLINA 28304-3761 Executive Officer Director Promoter Manager of Issuer n/a Knowles, Smith & Associates LLP 2028 Litho Place Suite 300 Fayetteville NC NORTH CAROLINA 28304-3761 Promoter Other Health Care Decline to Disclose 06b false true false true false 32 304000 0 304000 The amount includes $32,000 attributable to interests being awarded to an employee in consideration of services. false 0 0 0 272000 Proceeds are to be used to pay indebtedness owed to the Related Persons. false Valleygate Dental Surgery Center of Fayetteville LLC Anuj James By: Valleygate Dental Surgery Center Holdings, LLC, it Manager By: Anuj James, Manager 2021-07-26