Form4insider filings, from the source

SEC Form 4 · accession 0001144204-19-001607

BIRNER DENTAL MANAGEMENT SERVICES INC · BDMS

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners
Bradley M Tirpak
Director · 10% Owner
Joshua Horowitz
Director · 10% Owner
Palm Management (US) LLC
Director · 10% Owner
Palm Active Dental LLC
Director · 10% Owner
Palm Active Dental II, LP
Director · 10% Owner
Period of report
Jan 14, 2019
Accepted (ET)
Jan 14, 2019 · 5:03 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000948072

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common StockJan 14, 2019C630,705$5.00A630,705IPalm Global Small Cap Master Fund LP
Common StockJan 14, 2019C420,470$5.00A420,470IPalm Active Dental, LLC
Common StockJan 14, 2019C95,344$5.00A95,344IPalm Active Dental II, LLC
Common StockF6Jan 14, 2019C1,264—A631,969IPalm Global Small Cap Master Fund LP
Common StockF6Jan 14, 2019C843—A421,313IPalm Active Dental, LLC
Common StockF6Jan 14, 2019C204—A95,548IPalm Active Dental II, LLC
Common StockF1Jan 14, 2019D631,969—D0IPalm Global Small Cap Master Fund LP
Common StockF1Jan 14, 2019D421,313—D0IPalm Active Dental, LLC
Common StockF1Jan 14, 2019D95,548—D0IPalm Active Dental II, LLC
Common StockF4,F1Jan 14, 2019D2,000—D0IBradley M. Tirpak
Common StockF4,F1Jan 14, 2019D2,000—D0IJoshua Horowitz

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Convertible Senior Subordinated Secured Loan NotesF7,F8,F1,F2,F5,F6,F10$5.00Jan 14, 2019C—D——Common Stock630,7050I
Convertible Senior Subordinated Secured Loan NotesF7,F8,F1,F2,F5,F6,F10$5.00Jan 14, 2019C—D——Common Stock420,4700I
Convertible Senior Subordinated Secured Loan NotesF7,F8,F1,F2,F5,F6,F10$5.00Jan 14, 2019C—D——Common Stock95,3440I
Series A Convertible Preferred StockF6,F1,F2,F7,F9,F10—Jan 14, 2019C6D——Common Stock1,2640I
Series A Convertible Preferred StockF6,F1,F2,F7,F9,F10—Jan 14, 2019C4D——Common Stock8430I
Series A Convertible Preferred StockF6,F1,F2,F7,F9,F10—Jan 14, 2019C1D——Common Stock2040I

Explanation of responses