SEC Form 4 · accession 0001140361-19-000994
BIRNER DENTAL MANAGEMENT SERVICES INC · BDMS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gregory G. Fulton
Director
Period of report
Jan 14, 2019
Accepted (ET)
Jan 14, 2019 · 4:48 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000948072
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 14, 2019 | D | 4,000 | — | D | 0 | D | |
| Common StockF1,F2 | Jan 14, 2019 | D | 11,000 | — | D | 0 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Disposed 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.
- F2Includes 3,000 shares of common stock owned by Gregory G. Fulton through his IRA and 8,000 shares of common stock owned by the Ann M. Fulton Living Trust, a trust established for Mr. Fulton's spouse.