0001140361-19-000998.txt : 20190114 0001140361-19-000998.hdr.sgml : 20190114 20190114165310 ACCESSION NUMBER: 0001140361-19-000998 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190114 FILED AS OF DATE: 20190114 DATE AS OF CHANGE: 20190114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIRNER FREDERIC W J CENTRAL INDEX KEY: 0001056537 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23367 FILM NUMBER: 19525509 MAIL ADDRESS: STREET 1: BIRNER DENTAL MANGEMENT SERVICES INC STREET 2: 3801 EAST FLORIDA AVE SUITE 508 CITY: DENVER STATE: CO ZIP: 80210 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIRNER DENTAL MANAGEMENT SERVICES INC CENTRAL INDEX KEY: 0000948072 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 841307044 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1777 S. HARRISON STREET, STREET 2: SUITE 1400 CITY: DENVER STATE: CO ZIP: 80210 BUSINESS PHONE: 3036910680 MAIL ADDRESS: STREET 1: 1777 S. HARRISON STREET, STREET 2: SUITE 1400 CITY: DENVER STATE: CO ZIP: 80210 4 1 form4.xml FORM 4 X0306 4 2019-01-14 true 0000948072 BIRNER DENTAL MANAGEMENT SERVICES INC BDMS 0001056537 BIRNER FREDERIC W J 1777 S. HARRISON STREET, SUITE 1400 DENVER CO 80210 true true true Chief Executive Officer Common Stock 2019-01-14 4 D 0 264155 D 0 D Disposed of as a result of a merger pursuant to the previously announced Agreement and Plan of Merger, dated as of October 3, 2018 (the "Merger Agreement"), by and among the issuer, Mid-Atlantic Dental Services Holdings, LLC, and Bronco Acquisition, Inc., in exchange for, on a per share basis, (i) $10.62 in cash and (ii) a contingent value right entitling the holder thereof to receive up to $0.13 per share that may become payable after 18 months in accordance with the terms of the Merger Agreement. /s/ Frederic W J Birner 2019-01-14