X0206 3 2025-12-02 0 0002069604 Park Dental Partners, Inc. PARK 0002089136 Smith Christopher Charles 2995 WATERTOWN ROAD LONG LAKE MN 55356 1 0 0 0 Common Stock 2800 D Includes 2,800 shares of restricted stock issued to the Reporting Person (the "Restricted Stock"), which shares vest as follows: (i) 25% on the completion of the Issuer's initial public offering; and (ii) thereafter, at the rate of 6.25% per quarter. The Restricted Stock is subject to accelerated vesting in connection with a change in control of the Issuer in accordance with the terms of the Park Dental Partners, Inc. 2023 Restricted Stock Plan and the applicable award agreement. The Restricted Stock does not confer any voting rights until the applicable shares have vested and the holder of Restricted Stock has become the record owner of such vested shares. /s/ Maxwell Black as Attorney-in-Fact for Philip Smith 2025-12-03