-----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, N3w5jZCr7vA9N53agyMDm3oXE+eTzdE8MdHY4y5rAqO/gVEB6tJcVQCmrrxDD0Mb OjEfhJmpKzITa9LMHWHpkA== 0001005444-03-000116.txt : 20031009 0001005444-03-000116.hdr.sgml : 20031009 20031009153259 ACCESSION NUMBER: 0001005444-03-000116 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031007 FILED AS OF DATE: 20031009 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIRNER DENTAL MANAGEMENT SERVICES INC CENTRAL INDEX KEY: 0000948072 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 841307044 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3801 E FLORIDA AVE STE 208 CITY: DENVER STATE: CO ZIP: 80218 BUSINESS PHONE: 3036910680 MAIL ADDRESS: STREET 1: 3801 EAST FLORIDA AVENUE STREET 2: SUITE 208 CITY: DENVER STATE: C0 ZIP: 80210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIRNER MARK A CENTRAL INDEX KEY: 0001056539 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23367 FILM NUMBER: 03935012 BUSINESS ADDRESS: STREET 1: BIRNER DENTAL MANGEMENT SERVICES INC STREET 2: 3801 EAST FLORIDA AVE SUITE 508 CITY: DENVER STATE: CO ZIP: 80210 BUSINESS PHONE: 3036910680 MAIL ADDRESS: STREET 2: 3801 EAST FLORIDA AVE SUITE 508 CITY: DENVER STATE: CO ZIP: 80210 4 1 form4mbirner_ex.xml X0201 4 2003-10-07 0 0000948072 BIRNER DENTAL MANAGEMENT SERVICES INC BDMS 0001056539 BIRNER MARK A BIRNER DENTAL MANGEMENT SERVICES INC 3801 EAST FLORIDA AVE SUITE 508 DENVER CO 80210 1 1 1 0 President Stock Options (Right to Buy) 21.45 2003-10-07 2003-10-07 4 E 0 2500 0 D 1999-10-07 2003-10-07 Common Stock 2500 0 D Title of Non-Derivative Security: Common Stock, Amount Beneficially Owned-179,172, Direct Ownership Warrants (Right to Buy), $5.06 Conversion Price, Expiration Date 02/11/2007, Title of Security-Common Stock, Amount of Securities Beneficially Owned-10,000, Direct Ownership Stock Options(Right to Buy), $11.68 Conversion Price, Expiration Date 01/02/2008, Title of Security-Common Stock, Amount of Securities Beneficially Owned-33,333, Direct Ownership Mark A. Birner 2003-10-08 -----END PRIVACY-ENHANCED MESSAGE-----