-----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, Q2r53UZTZz2L77Qn/bfGzsvOrvTVwPkstN03lM3UegP+tV9TRrvKrHxM7uf4oUm4 oJETbC6Wn1HZTj19tosgow== 0001181431-09-039117.txt : 20090812 0001181431-09-039117.hdr.sgml : 20090812 20090812163257 ACCESSION NUMBER: 0001181431-09-039117 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090810 FILED AS OF DATE: 20090812 DATE AS OF CHANGE: 20090812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SULLIVAN TIMOTHY P CENTRAL INDEX KEY: 0001245970 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22673 FILM NUMBER: 091007184 MAIL ADDRESS: STREET 1: THREE FIRST NATIONAL PLZ STREET 2: SUITE 3800 CITY: CHICAGO STATE: IL ZIP: 60602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SIRONA DENTAL SYSTEMS, INC. CENTRAL INDEX KEY: 0001014507 STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843] IRS NUMBER: 113374812 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 30-30 47TH AVE STREET 2: SUITE 500 CITY: LONG ISLAND CITY STATE: NY ZIP: 11101 BUSINESS PHONE: 7189375765 MAIL ADDRESS: STREET 1: 30-30 47TH AVE STREET 2: SUITE 500 CITY: LONG ISLAND CITY STATE: NY ZIP: 11101 FORMER COMPANY: FORMER CONFORMED NAME: SCHICK TECHNOLOGIES INC DATE OF NAME CHANGE: 19970425 4 1 rrd250470.xml FORM 4 X0303 4 2009-08-10 0 0001014507 SIRONA DENTAL SYSTEMS, INC. SIRO 0001245970 SULLIVAN TIMOTHY P C/O MADISON DEARBORN PARTNERS, LLC THREE FIRST NATIONAL PLAZA, SUITE 4600 CHICAGO IL 60602 1 0 0 0 Common Stock 2009-08-10 4 S 0 1125000 22.68 D 28347480 I See Footnotes Owned by Sirona Holdings Luxco S.C.A. ("Luxco"). The following entities may be deemed to have a beneficial interest in the Common Stock held by Luxco: Sirona Holdings S.A. ("Luxco Manager"), by virtue of its being the sole manager of Luxco; MDCP IV Global Investments LP ("MDCP IV Global Investments"), by virtue of its being the controlling shareholder of Luxco Manager; MDP IV Global GP, LP ("MDP IV Global GP"), by virtue of its being the sole general partner of MDCP IV Global Investments; and MDP Global Investors Limited by virtue of its being the sole general partner of MDP IV Global GP. A majority of the following members of MDP Global Investors Limited have the authority to vote or dispose of the shares held by MDCP IV Global Investments: John A. Canning, Jr., Paul J. Finnegan, Samuel M. Mencoff, Paul R. Wood, (Continued Footnote 3) Benjamin D. Chereskin, Justin S. Huscher, James N. Perry, Jr., Thomas R. Reusche, Cynthia Reusche, Timothy P. Sullivan, Nicholas W. Alexos, Robin P. Selati, Gary J. Little GST Exempt Marital Trust, David F. Mosher and Thomas Souleles. As a member of MDP Global Investors Limited, Mr. Sullivan may also be deemed to share beneficial ownership of the Common Stock held by Luxco. Mr. Sullivan disclaims beneficial ownership of the shares directly held by Luxco except to the extent of his pecuniary interest therein. Each of the members of MDP Global Investors Limited and each of MDCP IV Global Investments, MDP IV Global GP and MDP Global Investors Limited disclaims beneficial ownership of any shares directly held by Luxco except to the extent of their respective pecuniary interest therein. /s/ Timothy P. Sullivan 2009-08-11 -----END PRIVACY-ENHANCED MESSAGE-----