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