-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, C+aLwD5WyEwj3ZizISsC2DmRPxhpJgeuKSb2QZsfuK36Gg/2WEELJ4RO+PXtYkDH 0YdHH2lwCJn5YQfWU3mnCg== 0000950144-02-001515.txt : 20020414 0000950144-02-001515.hdr.sgml : 20020414 ACCESSION NUMBER: 0000950144-02-001515 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020214 GROUP MEMBERS: DIASTI FAMILY FOUNDATION, INC GROUP MEMBERS: DLP MGT, INC GROUP MEMBERS: TEREK DIASTI, ADAM DIASTI SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COAST DENTAL SERVICES INC CENTRAL INDEX KEY: 0001018920 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 593136131 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-50731 FILM NUMBER: 02548720 BUSINESS ADDRESS: STREET 1: 2502 ROCKY POINT DRIVE STREET 2: SUITE 1000 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 8137265152 MAIL ADDRESS: STREET 1: 2502 ROCKY POINT DR STREET 2: SUITE 1000 CITY: TAMPA STATE: FL ZIP: 33607 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DIASTI FAMILY LIMITED PARTNERSHIP CENTRAL INDEX KEY: 0001055741 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1325 AIRMOVIVE STREET 2: SUITE 130 CITY: RENO STATE: NV ZIP: 89502 BUSINESS PHONE: 8132297600 MAIL ADDRESS: STREET 1: 1325 AIRMOTIVE WAY STREET 2: SUITE 130 CITY: RENO STATE: NV ZIP: 89502 SC 13G/A 1 g74254sc13ga.txt COAST DENTAL SERVICES, INC SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 4) COAST DENTAL SERVICES, INC. ------------------------------------------------------------------- (Name of Issuer) COMMON ------------------------------------------------------------------- (Title of Class of Securities) 19034H 10 2 ------------------------------------------------------------------- (CUSIP Number) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act, but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP NO. 19034H 10 2 13G PAGE 2 OF 9 ----------------------------------------------------------------------------- 1) Names of Reporting Persons/ I.R.S. Identification Nos. of Above Persons (Entities Only) DIASTI FAMILY LIMITED PARTNERSHIP ------------------------------------------------------------------------ 2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) [X] (b) [ ] ------------------------------------------------------------------------ 3) SEC Use Only ------------------------------------------------------------------------ 4) Citizenship or Place of Organization NEVADA Number of (5) Sole Voting Power Shares 1,062,599* Beneficially Owned by (6) Shared Voting Power Each 0 Reporting (7) Sole Dispositive Power Person 1,062,599* With (8) Shared Dispositive Power 0 *Through its general partner DLP Management, Inc. ------------------------------------------------------------------------ 9) Aggregate Amount Beneficially Owned by Each Reporting Person 1,062,599 ------------------------------------------------------------------------ 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] (See Instructions) ------------------------------------------------------------------------ 11) Percent of Class Represented by Amount in Row (9) 50.8% based upon approximately 2,091,223 shares of common stock outstanding on December 31, 2001. ------------------------------------------------------------------------ 12) Type of Reporting Person (See Instructions) PN ------------------------------------------------------------------------ CUSIP NO. 19034H 10 2 13G PAGE 3 OF 9 ----------------------------------------------------------------------------- 1) Names of Reporting Persons/ I.R.S. Identification Nos. of Above Persons (Entities Only) DLP MANAGEMENT, INC. ------------------------------------------------------------------------ 2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) [X] (b) [ ] ------------------------------------------------------------------------ 3) SEC Use Only ------------------------------------------------------------------------ 4) Citizenship or Place of Organization NEVADA ------------------------------------------------------------------------ Number of (5) Sole Voting Power Shares Beneficially 1,062,599* Owned by Each (6) Shared Voting Power Reporting 0 Person With (7) Sole Dispositive Power 1,062,599* (8) Shared Dispositive Power 0 *As the general partner for the Diasti Family Limited Partnership. ------------------------------------------------------------------------ 9) Aggregate Amount Beneficially Owned by Each Reporting Person 1,062,599 ------------------------------------------------------------------------ 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] (See Instructions) ------------------------------------------------------------------------ 11) Percent of Class Represented by Amount in Row (9) 50.8% based upon approximately 2,091,223 shares of common stock outstanding on December 31, 2001. ------------------------------------------------------------------------ 12) Type of Reporting Person (See Instructions) CO ------------------------------------------------------------------------ CUSIP NO. 19034H 10 2 13G PAGE 4 OF 9 ----------------------------------------------------------------------------- 1) Names of Reporting Persons/ I.R.S. Identification Nos. of Above Persons (Entities Only) DIASTI FAMILY FOUNDATION, INC. ------------------------------------------------------------------------ 2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) [X] (b) [ ] ------------------------------------------------------------------------ 3) SEC Use Only ------------------------------------------------------------------------ 4) Citizenship or Place of Organization FLORIDA ------------------------------------------------------------------------ Number of (5) Sole Voting Power Shares Beneficially 27,600 Owned by Each (6) Shared Voting Power Reporting 0 Person With (7) Sole Dispositive Power 27,600 (8) Shared Dispositive Power 0 ------------------------------------------------------------------------ 9) Aggregate Amount Beneficially Owned by Each Reporting Person 27,600 ------------------------------------------------------------------------ 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] (See Instructions) ------------------------------------------------------------------------ 11) Percent of Class Represented by Amount in Row (9) 1.3% based upon approximately 2,091,223 shares of common stock outstanding on December 31, 2001. ------------------------------------------------------------------------ 12) Type of Reporting Person (See Instructions) CO ------------------------------------------------------------------------ CUSIP NO. 19034H 10 2 13G PAGE 5 OF 9 ----------------------------------------------------------------------------- 1) Names of Reporting Persons/ I.R.S. Identification Nos. of Above Persons (Entities Only) TEREK DIASTI, ADAM DIASTI AND TIM DIASTI ------------------------------------------------------------------------ 2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) [X] (b) [ ] ------------------------------------------------------------------------ 3) SEC Use Only ------------------------------------------------------------------------ 4) Citizenship or Place of Organization UNITED STATES ------------------------------------------------------------------------ Number of (5) Sole Voting Power Shares Terek Diasti 6,666** Tim Diasti -0- Beneficially Adam Diasti 6,666** Owned by (6) Shared Voting Power Each 1,090,199* Reporting (7) Sole Dispositive Power Person Terek Diasti 6,666** Tim Diasti -0- With Adam Diasti 6,666** (8) Shared Dispositive Power 1,090,199* (*) As equal shareholders and directors of the Diasti Family Limited Partnership's sole general partner, DLP Management, Inc. and as directors of the Diasti Family Foundation. (**) Includes shares eligible to be acquired pursuant to individual stock option grants vested or subject to vesting within the next 60 days. ------------------------------------------------------------------------ 9) Aggregate Amount Beneficially Owned by Each Reporting Person Terek Diasti 1,096,865 (*)(**) Tim Diasti 1,090,199 (*) Adam Diasti 1,096,865 (*)(**) ------------------------------------------------------------------------ 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares [ ] (See Instructions) ------------------------------------------------------------------------ 11) Percent of Class Represented by Amount in Row (9) Based upon approximately 2,091,223 shares of common stock outstanding on December 31, 2001: Terek Diasti 52.2% Tim Diasti 52.1% Adam Diasti 52.2% ------------------------------------------------------------------------ 12) Type of Reporting Person (See Instructions) IN ------------------------------------------------------------------------ CUSIP NO. 19034H 10 2 13G PAGE 6 OF 9 ----------------------------------------------------------------------------- SCHEDULE 13G - TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(b) OR 13d-2(b) Item 1(a). Name of Issuer: COAST DENTAL SERVICES, INC. Item 1(b). Address of Issuer's Principal Executive Offices: 2502 Rocky Point Drive, Suite 1000 Tampa, Florida 33607 Item 2(a). Name of Person Filing: Diasti Family Limited Partnership DLP Management, Inc., its General Partner Diasti Family Foundation, Inc. Terek Diasti Adam Diasti Tim Diasti Item 2(b). Address of Principal Business Office or, if none, Residence: 639 Isbell Road, Suite 390 Reno, Nevada 89509 Item 2(c). Citizenship: Nevada Item 2(d). Title of Class of Securities: Common Item 2(e). CUSIP Number: 19034H 10 2 Item 3(a). If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b) or (c), check whether the filing person is a: (a) [ ] Broker or Dealer registered under Section 15 of the Act; (b) [ ] Bank as defined in Section 3(a)(6) of the Act; (c) [ ] Insurance company as defined in Section 3(a)(19) of the Act; (d) [ ] Investment company registered under Section 8 of the Investment Company Act; (e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; CUSIP NO. 19034H 10 2 13G PAGE 7 OF 9 ----------------------------------------------------------------------------- (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). Item 4. Ownership: Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount Beneficially Owned: See response to Item 9 on cover pages. (b) Percent of Class: See response to Item 11 on cover pages. (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: See response to Item 5 on cover pages. (ii) shared power to vote or to direct the vote: See response to Item 6 on cover pages. (iii) sole power to dispose or to direct the disposition of: See response to Item 7 on cover pages. (iv) shared power to dispose or to direct the disposition of: See response to Item 8 on cover pages. Item 5. Ownership of Five Percent or Less of a Class: Not Applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person: Not Applicable Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company: Not Applicable Item 8. Identification and Classification of Members of the Group: (See Exhibit A) Item 9. Notice of Dissolution of Group: Not Applicable Item 10. Certification: Not Applicable CUSIP NO. 19034H 10 2 13G PAGE 8 OF 9 ----------------------------------------------------------------------------- SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 14, 2002 /s/ TEREK DIASTI -------------------------------------------- TEREK DIASTI /s/ ADAM DIASTI -------------------------------------------- ADAM DIASTI /s/ TIM DIASTI -------------------------------------------- TIM DIASTI DIASTI FAMILY LIMITED PARTNERSHIP By: DLP Management, Inc., its General Partner By: /s/ TEREK DIASTI ---------------------------------------- Terek Diasti, its President DLP MANAGEMENT, INC. By: /s/ TEREK DIASTI ---------------------------------------- Terek Diasti, its President DIASTI FAMILY FOUNDATION, INC. By: /s/ TEREK DIASTI ---------------------------------------- Terek Diasti, its President CUSIP NO. 19034H 10 2 13G PAGE 6 OF 9 ----------------------------------------------------------------------------- EXHIBIT A SCHEDULE 13G - TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(b) OR 13d-2(b) RULE 13d-1(k) AGREEMENT The undersigned agree and consent to the joint filing on their behalf of this Schedule 13G in connection with their beneficial ownership of the common stock of Coast Dental Services, Inc. at December 31, 2001. /s/ TEREK DIASTI -------------------------------------------- TEREK DIASTI /s/ ADAM DIASTI -------------------------------------------- ADAM DIASTI /s/ TIM DIASTI -------------------------------------------- TIM DIASTI DIASTI FAMILY LIMITED PARTNERSHIP By: DLP Management, Inc., its General Partner By: /s/ TEREK DIASTI ---------------------------------------- Terek Diasti, its President DLP MANAGEMENT, INC. By: /s/ TEREK DIASTI ---------------------------------------- Terek Diasti, its President DIASTI FAMILY FOUNDATION, INC. By: /s/ TEREK DIASTI ---------------------------------------- Terek Diasti, its President -----END PRIVACY-ENHANCED MESSAGE-----