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Palm Active Dental LLC

Disclosed activity across 1 company

Tapewire entity
161091
SEC CIK
0001726515

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Reported relationships

Latest disclosed role at each company.

No relationships currently tracked through insider filings.

Disclosed balances

About these balances

Latest available filing per company, not a reconstructed current portfolio. Matching sequences show the last reported balance with all source rows expandable; grouping alone does not establish account ownership. Do not add unresolved positions together. Filings may omit unchanged positions, and amendments may correct only part of an older disclosure. Jointly reported shares are not necessarily this owner's personal holdings.

No balances currently tracked through insider filings.

Past disclosures · reporting ended (1)

No longer tracked through insider filings. These historical balances do not imply present ownership or a zero position.

Section 16 reporting ended · disclosed 2019-01-14. Current position is not established by this disclosure.

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Common StockSEC Table I · non-derivativeIndirectPalm Global Small Cap Master Fund LP630,705 Reported balance After 2019-01-14 transaction · row 1 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 1 · 2019-01-14 · Conversion · Acquired 630,705 · Balance 630,705

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Common StockSEC Table I · non-derivativeIndirectPalm Global Small Cap Master Fund LP631,969 Reported balance After 2019-01-14 transaction · row 4 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 4 · 2019-01-14 · Conversion · Acquired 1,264 · Balance 631,969

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Common StockSEC Table I · non-derivativeIndirectPalm Global Small Cap Master Fund LP0 Reported balance After 2019-01-14 transaction · row 7 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 7 · 2019-01-14 · Disposition to issuer · Disposed 631,969 · Balance 0

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F3: Represents shares of Common Stock disposed of in the Merger for the Merger Consideration.

Common StockSEC Table I · non-derivativeIndirectPalm Active Dental, LLC420,470 Reported balance After 2019-01-14 transaction · row 2 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 2 · 2019-01-14 · Conversion · Acquired 420,470 · Balance 420,470

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Common StockSEC Table I · non-derivativeIndirectPalm Active Dental, LLC421,313 Reported balance After 2019-01-14 transaction · row 5 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 5 · 2019-01-14 · Conversion · Acquired 843 · Balance 421,313

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Common StockSEC Table I · non-derivativeIndirectPalm Active Dental, LLC0 Reported balance After 2019-01-14 transaction · row 8 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 8 · 2019-01-14 · Disposition to issuer · Disposed 421,313 · Balance 0

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F3: Represents shares of Common Stock disposed of in the Merger for the Merger Consideration.

Common StockSEC Table I · non-derivativeIndirectPalm Active Dental II, LLC95,344 Reported balance After 2019-01-14 transaction · row 3 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 3 · 2019-01-14 · Conversion · Acquired 95,344 · Balance 95,344

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Common StockSEC Table I · non-derivativeIndirectPalm Active Dental II, LLC95,548 Reported balance After 2019-01-14 transaction · row 6 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 6 · 2019-01-14 · Conversion · Acquired 204 · Balance 95,548

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Common StockSEC Table I · non-derivativeIndirectPalm Active Dental II, LLC0 Reported balance After 2019-01-14 transaction · row 9 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 9 · 2019-01-14 · Disposition to issuer · Disposed 95,548 · Balance 0

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F3: Represents shares of Common Stock disposed of in the Merger for the Merger Consideration.

Common StockSEC Table I · non-derivativeIndirectBradley M. Tirpak0 Reported balance After 2019-01-14 transaction · row 10 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 10 · 2019-01-14 · Disposition to issuer · Disposed 2,000 · Balance 0

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F4: Represents shares of restricted Common Stock cancelled in the Merger in exchange for the Merger Consideration.

Common StockSEC Table I · non-derivativeIndirectJoshua Horowitz0 Reported balance After 2019-01-14 transaction · row 11 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 11 · 2019-01-14 · Disposition to issuer · Disposed 2,000 · Balance 0

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F4: Represents shares of restricted Common Stock cancelled in the Merger in exchange for the Merger Consideration.

Convertible Senior Subordinated Secured Loan NotesSEC Table II · derivative / convertible security · Conversion / exercise price $5.00IndirectPalm Global Small Cap Master Fund LP0 Reported balance After 2019-01-14 transaction · row 12 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 12 · 2019-01-14 · Conversion · Disposed Not disclosed · Balance 0

F7: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F10: Represents underlying shares of Common Stock.

Convertible Senior Subordinated Secured Loan NotesSEC Table II · derivative / convertible security · Conversion / exercise price $5.00IndirectPalm Active Dental, LLC0 Reported balance After 2019-01-14 transaction · row 13 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 13 · 2019-01-14 · Conversion · Disposed Not disclosed · Balance 0

F7: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F10: Represents underlying shares of Common Stock.

Convertible Senior Subordinated Secured Loan NotesSEC Table II · derivative / convertible security · Conversion / exercise price $5.00IndirectPalm Active Dental II, LP0 Reported balance After 2019-01-14 transaction · row 14 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 14 · 2019-01-14 · Conversion · Disposed Not disclosed · Balance 0

F7: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F10: Represents underlying shares of Common Stock.

Series A Convertible Preferred StockSEC Table II · derivative / convertible securityIndirectPalm Global Small Cap Master Fund LP0 Reported balance After 2019-01-14 transaction · row 15 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 15 · 2019-01-14 · Conversion · Disposed 6 · Balance 0

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F7: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F9: Includes dividends required to be paid in kind as additional shares.

F10: Represents underlying shares of Common Stock.

Series A Convertible Preferred StockSEC Table II · derivative / convertible securityIndirectPalm Active Dental, LLC0 Reported balance After 2019-01-14 transaction · row 16 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 16 · 2019-01-14 · Conversion · Disposed 4 · Balance 0

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F7: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F9: Includes dividends required to be paid in kind as additional shares.

F10: Represents underlying shares of Common Stock.

Series A Convertible Preferred StockSEC Table II · derivative / convertible securityIndirectPalm Active Dental II, LP0 Reported balance After 2019-01-14 transaction · row 17 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 17 · 2019-01-14 · Conversion · Disposed 1 · Balance 0

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F7: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F9: Includes dividends required to be paid in kind as additional shares.

F10: Represents underlying shares of Common Stock.

Filing footnotes · ownership attribution and instrument terms

F1: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F3: Represents shares of Common Stock disposed of in the Merger for the Merger Consideration.

F4: Represents shares of restricted Common Stock cancelled in the Merger in exchange for the Merger Consideration.

F5: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F7: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F9: Includes dividends required to be paid in kind as additional shares.

F10: Represents underlying shares of Common Stock.

Transaction history

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Purchases/sales include open-market and private transactions. Plan disclosure applies to the filing; individual rows may differ. “Not disclosed” is not “unplanned.”

The cutoff filters transaction history only. Company summaries and owner relationships show the latest available disclosures. Parser corrections can improve historical records.

Transaction dateCompanyActivity / securityShares / unitsReported priceReported valueDetails
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionSeries A Convertible Preferred Stock · Derivative 1 $0.00 $0.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · derivative · entry 17

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental II, LP

Disclosed balance after: 0

Underlying: Common Stock · 204 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F6 · derivative.exercise_price: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1 · derivative.exercise_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.exercise_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · derivative.exercise_date: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1 · derivative.expiration_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.expiration_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · derivative.expiration_date: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · derivative.underlying_shares: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F7 · derivative.underlying_shares: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F9 · derivative.underlying_shares: Includes dividends required to be paid in kind as additional shares.

F10 · derivative.underlying_shares: Represents underlying shares of Common Stock.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionSeries A Convertible Preferred Stock · Derivative 4 $0.00 $0.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · derivative · entry 16

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental, LLC

Disclosed balance after: 0

Underlying: Common Stock · 843 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F6 · derivative.exercise_price: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1 · derivative.exercise_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.exercise_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · derivative.exercise_date: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1 · derivative.expiration_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.expiration_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · derivative.expiration_date: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · derivative.underlying_shares: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F7 · derivative.underlying_shares: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F9 · derivative.underlying_shares: Includes dividends required to be paid in kind as additional shares.

F10 · derivative.underlying_shares: Represents underlying shares of Common Stock.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionSeries A Convertible Preferred Stock · Derivative 6 $0.00 $0.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · derivative · entry 15

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Global Small Cap Master Fund LP

Disclosed balance after: 0

Underlying: Common Stock · 1,264 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F6 · derivative.exercise_price: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1 · derivative.exercise_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.exercise_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · derivative.exercise_date: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F1 · derivative.expiration_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.expiration_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · derivative.expiration_date: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · derivative.underlying_shares: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F7 · derivative.underlying_shares: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F9 · derivative.underlying_shares: Includes dividends required to be paid in kind as additional shares.

F10 · derivative.underlying_shares: Represents underlying shares of Common Stock.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionConvertible Senior Subordinated Secured Loan Notes · Derivative Not disclosed $0.00 Strike: $5.00 $476,718.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · derivative · entry 14

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental II, LP

Disclosed balance after: 0

Underlying: Common Stock · 95,344 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F7 · reported_value: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8 · reported_value: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F1 · derivative.exercise_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.exercise_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · derivative.exercise_date: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F1 · derivative.expiration_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.expiration_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · derivative.expiration_date: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F5 · derivative.underlying_shares: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6 · derivative.underlying_shares: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F7 · derivative.underlying_shares: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8 · derivative.underlying_shares: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F10 · derivative.underlying_shares: Represents underlying shares of Common Stock.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionConvertible Senior Subordinated Secured Loan Notes · Derivative Not disclosed $0.00 Strike: $5.00 $2,102,350.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · derivative · entry 13

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental, LLC

Disclosed balance after: 0

Underlying: Common Stock · 420,470 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F7 · reported_value: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8 · reported_value: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F1 · derivative.exercise_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.exercise_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · derivative.exercise_date: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F1 · derivative.expiration_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.expiration_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · derivative.expiration_date: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F5 · derivative.underlying_shares: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6 · derivative.underlying_shares: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F7 · derivative.underlying_shares: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8 · derivative.underlying_shares: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F10 · derivative.underlying_shares: Represents underlying shares of Common Stock.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionConvertible Senior Subordinated Secured Loan Notes · Derivative Not disclosed $0.00 Strike: $5.00 $3,153,524.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · derivative · entry 12

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Global Small Cap Master Fund LP

Disclosed balance after: 0

Underlying: Common Stock · 630,705 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F7 · reported_value: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8 · reported_value: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F1 · derivative.exercise_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.exercise_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · derivative.exercise_date: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F1 · derivative.expiration_date: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · derivative.expiration_date: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · derivative.expiration_date: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F5 · derivative.underlying_shares: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6 · derivative.underlying_shares: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F7 · derivative.underlying_shares: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred was $276,145 through January 14, 2019.

F8 · derivative.underlying_shares: Represents the outstanding principal amount of the Notes converted plus PIK interest.

F10 · derivative.underlying_shares: Represents underlying shares of Common Stock.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 Disposition to issuerCommon Stock 2,000 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 11

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Joshua Horowitz

Disclosed balance after: 0

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F4 · kind: Represents shares of restricted Common Stock cancelled in the Merger in exchange for the Merger Consideration.

F4 · shares: Represents shares of restricted Common Stock cancelled in the Merger in exchange for the Merger Consideration.

F1 · price: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 Disposition to issuerCommon Stock 2,000 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 10

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Bradley M. Tirpak

Disclosed balance after: 0

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F4 · kind: Represents shares of restricted Common Stock cancelled in the Merger in exchange for the Merger Consideration.

F4 · shares: Represents shares of restricted Common Stock cancelled in the Merger in exchange for the Merger Consideration.

F1 · price: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 Disposition to issuerCommon Stock 95,548 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 9

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental II, LLC

Disclosed balance after: 0

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F3 · kind: Represents shares of Common Stock disposed of in the Merger for the Merger Consideration.

F1 · price: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 Disposition to issuerCommon Stock 421,313 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 8

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental, LLC

Disclosed balance after: 0

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F3 · kind: Represents shares of Common Stock disposed of in the Merger for the Merger Consideration.

F1 · price: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 Disposition to issuerCommon Stock 631,969 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 7

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Global Small Cap Master Fund LP

Disclosed balance after: 0

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F3 · kind: Represents shares of Common Stock disposed of in the Merger for the Merger Consideration.

F1 · price: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionCommon Stock 204 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 6

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental II, LLC

Disclosed balance after: 95,548

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · kind: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · kind: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · price: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionCommon Stock 843 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 5

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental, LLC

Disclosed balance after: 421,313

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · kind: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · kind: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · price: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionCommon Stock 1,264 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 4

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Global Small Cap Master Fund LP

Disclosed balance after: 631,969

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · kind: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F6 · kind: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · price: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionCommon Stock 95,344 $5.00 $476,720.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 3

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental II, LLC

Disclosed balance after: 95,344

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · kind: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · kind: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6 · kind: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionCommon Stock 420,470 $5.00 $2,102,350.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 2

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental, LLC

Disclosed balance after: 420,470

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · kind: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · kind: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6 · kind: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Read SEC document
January 14, 2019 Filed Jan 14, 2019 17:03 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 ConversionCommon Stock 630,705 $5.00 $3,153,525.00
Disclosure

SEC source: 0001144204-19-001607 · tv510924_form4.xml · nonDerivative · entry 1

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Global Small Cap Master Fund LP

Disclosed balance after: 630,705

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: On January 14, 2019, Birner Dental Management Services, Inc. ("Birner") completed a merger transaction pursuant to which Birner became a wholly owned subsidiary of Mid-Atlantic Dental Services Holdings, LLC (the "Merger"). Each share of Birner common stock was converted into the right to receive $10.62 in cash and a contingent value right that entitles the holder thereof to receive up to $0.13 per share that may become payable after 18 months, in each case, without interest and less any applicable withholding taxes (the "Merger Consideration").

F2 · kind: Pursuant to a Notice of Conversion dated December 14, 2018, immediately prior to the effective time of the Merger, the Reporting Persons converted their Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") into Series B Convertible Preferred ("Series B Preferred") and, immediately thereafter, converted the Series B Preferred into shares of Common Stock.

F5 · kind: Each Note was convertible at any time at the option of the holder into Series B Preferred, which Series B Preferred was then convertible into Common Stock at any time at the option of the holder. The maturity date for the Notes was September 30, 2023.

F6 · kind: Each share of Series A Preferred was convertible into such number of shares of Series B Preferred as was determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred was convertible into such number of shares of Common Stock as was determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

Read SEC document
September 01, 2018 Filed Sep 5, 2018 11:06 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 OtherSeries A Convertible Preferred Stock · Derivative 3 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-18-047997 · tv502164_form4.xml · derivative · entry 6

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental, LLC

Disclosed balance after: 4

Underlying: Common Stock · 600 shares

Expires not disclosed

F4 · derivative.exercise_price: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F10 · kind: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F10 · price: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F2 · derivative.exercise_date: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F5 · derivative.expiration_date: Shares of Series A Preferred may be redeemed at any time at the option of the holder beginning on the sixth anniversary date of December 28, 2017.

F2 · balance_after: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F4 · balance_after: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · balance_after: Assuming the conversion of both the Notes and the Series A Preferred into Series B Preferred and the Series B Preferred into Common Stock, the Reporting Persons in the aggregate will own 1,093,600 shares of Common Stock, which represent approximately 36.8% of the Company's outstanding shares of Common Stock (assuming the conversion of the securities) (not including restricted stock held by Messrs. Horowitz and Tirpak, who serve as directors of the Company, received as director compensation).

F7 · balance_after: Due to his positions with Palm Management (US) LLC and affiliated entities, Mr. Palmer may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by Palm Global Small Cap Master Fund LP (the "Fund"), Palm Active Dental, LLC ("PAD") and Palm Active Dental II, LP ("PAD II"). Mr. Palmer disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Palm Management (US) LLC, as the investment manager of the Fund, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by the Fund. Due to their positions with the Fund and Palm Management (US) LLC, Messrs. Horowitz and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by the Fund. Messrs. Horowitz and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F8 · balance_after: Palm Active Partners Management, LLC, as the investment manager of PAD and PAD II, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Due to their positions as managing directors of Palm Active Partners Management, LLC, Messrs. Horowitz, Palmer and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Messrs. Horowitz, Palmer and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F9 · balance_after: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred is $147,669 through July 31, 2018. The principal amounts of the Notes in Column 9 of Table II include such PIK interest.

Read SEC document
September 01, 2018 Filed Sep 5, 2018 11:06 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 OtherSeries A Convertible Preferred Stock · Derivative 3 Not disclosed Not disclosed
Disclosure

SEC source: 0001144204-18-047997 · tv502164_form4.xml · derivative · entry 5

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Global Small Cap Master Fund LP

Disclosed balance after: 6

Underlying: Common Stock · 600 shares

Expires not disclosed

F4 · derivative.exercise_price: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F10 · kind: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F10 · price: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F2 · derivative.exercise_date: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F5 · derivative.expiration_date: Shares of Series A Preferred may be redeemed at any time at the option of the holder beginning on the sixth anniversary date of December 28, 2017.

F2 · balance_after: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F4 · balance_after: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · balance_after: Assuming the conversion of both the Notes and the Series A Preferred into Series B Preferred and the Series B Preferred into Common Stock, the Reporting Persons in the aggregate will own 1,093,600 shares of Common Stock, which represent approximately 36.8% of the Company's outstanding shares of Common Stock (assuming the conversion of the securities) (not including restricted stock held by Messrs. Horowitz and Tirpak, who serve as directors of the Company, received as director compensation).

F7 · balance_after: Due to his positions with Palm Management (US) LLC and affiliated entities, Mr. Palmer may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by Palm Global Small Cap Master Fund LP (the "Fund"), Palm Active Dental, LLC ("PAD") and Palm Active Dental II, LP ("PAD II"). Mr. Palmer disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Palm Management (US) LLC, as the investment manager of the Fund, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by the Fund. Due to their positions with the Fund and Palm Management (US) LLC, Messrs. Horowitz and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by the Fund. Messrs. Horowitz and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F8 · balance_after: Palm Active Partners Management, LLC, as the investment manager of PAD and PAD II, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Due to their positions as managing directors of Palm Active Partners Management, LLC, Messrs. Horowitz, Palmer and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Messrs. Horowitz, Palmer and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F9 · balance_after: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred is $147,669 through July 31, 2018. The principal amounts of the Notes in Column 9 of Table II include such PIK interest.

Read SEC document
September 01, 2018 Filed Sep 5, 2018 11:06 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 OtherConvertible Senior Subordinated Secured Loan Notes · Derivative Not disclosed Not disclosed Strike: $5.00 $1,497,000.00
Disclosure

SEC source: 0001144204-18-047997 · tv502164_form4.xml · derivative · entry 4

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental, LLC

Disclosed balance after: Not disclosed

Underlying: Common Stock · 299,400 shares

Expires not disclosed

F10 · kind: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F10 · price: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F2 · derivative.exercise_date: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F3 · derivative.expiration_date: The maturity date for the Notes is September 30, 2023.

F2 · valueOwnedAfter: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F4 · valueOwnedAfter: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · valueOwnedAfter: Assuming the conversion of both the Notes and the Series A Preferred into Series B Preferred and the Series B Preferred into Common Stock, the Reporting Persons in the aggregate will own 1,093,600 shares of Common Stock, which represent approximately 36.8% of the Company's outstanding shares of Common Stock (assuming the conversion of the securities) (not including restricted stock held by Messrs. Horowitz and Tirpak, who serve as directors of the Company, received as director compensation).

F7 · valueOwnedAfter: Due to his positions with Palm Management (US) LLC and affiliated entities, Mr. Palmer may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by Palm Global Small Cap Master Fund LP (the "Fund"), Palm Active Dental, LLC ("PAD") and Palm Active Dental II, LP ("PAD II"). Mr. Palmer disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Palm Management (US) LLC, as the investment manager of the Fund, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by the Fund. Due to their positions with the Fund and Palm Management (US) LLC, Messrs. Horowitz and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by the Fund. Messrs. Horowitz and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F8 · valueOwnedAfter: Palm Active Partners Management, LLC, as the investment manager of PAD and PAD II, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Due to their positions as managing directors of Palm Active Partners Management, LLC, Messrs. Horowitz, Palmer and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Messrs. Horowitz, Palmer and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F9 · valueOwnedAfter: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred is $147,669 through July 31, 2018. The principal amounts of the Notes in Column 9 of Table II include such PIK interest.

Read SEC document
September 01, 2018 Filed Sep 5, 2018 11:06 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 OtherConvertible Senior Subordinated Secured Loan Notes · Derivative Not disclosed Not disclosed Strike: $5.00 $1,497,000.00
Disclosure

SEC source: 0001144204-18-047997 · tv502164_form4.xml · derivative · entry 3

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Global Small Cap Master Fund LP

Disclosed balance after: Not disclosed

Underlying: Common Stock · 299,400 shares

Expires not disclosed

F10 · kind: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F10 · price: Represents the contribution by PAD to the Fund of $1,497,000 in principal amount of the Notes and three shares of Series A Preferred in exchange for limited partnership interests in the Fund with a value equal to $1,500,000.

F2 · derivative.exercise_date: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F3 · derivative.expiration_date: The maturity date for the Notes is September 30, 2023.

F2 · valueOwnedAfter: The Convertible Senior Subordinated Loan Notes (the "Notes") and Series A Convertible Preferred Stock ("Series A Preferred") are both convertible into Series B Convertible Preferred Stock ("Series B Preferred") at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F4 · valueOwnedAfter: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · valueOwnedAfter: Assuming the conversion of both the Notes and the Series A Preferred into Series B Preferred and the Series B Preferred into Common Stock, the Reporting Persons in the aggregate will own 1,093,600 shares of Common Stock, which represent approximately 36.8% of the Company's outstanding shares of Common Stock (assuming the conversion of the securities) (not including restricted stock held by Messrs. Horowitz and Tirpak, who serve as directors of the Company, received as director compensation).

F7 · valueOwnedAfter: Due to his positions with Palm Management (US) LLC and affiliated entities, Mr. Palmer may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by Palm Global Small Cap Master Fund LP (the "Fund"), Palm Active Dental, LLC ("PAD") and Palm Active Dental II, LP ("PAD II"). Mr. Palmer disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Palm Management (US) LLC, as the investment manager of the Fund, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by the Fund. Due to their positions with the Fund and Palm Management (US) LLC, Messrs. Horowitz and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by the Fund. Messrs. Horowitz and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F8 · valueOwnedAfter: Palm Active Partners Management, LLC, as the investment manager of PAD and PAD II, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Due to their positions as managing directors of Palm Active Partners Management, LLC, Messrs. Horowitz, Palmer and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Messrs. Horowitz, Palmer and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F9 · valueOwnedAfter: The aggregate amount of PIK interest and dividends for the Notes and Series A Preferred is $147,669 through July 31, 2018. The principal amounts of the Notes in Column 9 of Table II include such PIK interest.

Read SEC document
August 15, 2018 Filed Aug 17, 2018 16:25 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 PurchaseSeries A Convertible Preferred Stock · Derivative 1 $1,000.00 $1,000.00
Disclosure

SEC source: 0001144204-18-045368 · tv501267_4.xml · derivative · entry 4

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental II, LP

Disclosed balance after: 1

Underlying: Common Stock · 200 shares

Expires not disclosed

F4 · derivative.exercise_price: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F2 · derivative.exercise_date: The Convertible Senior Subordinated Loan Notes (the ?Notes?) and Series A Convertible Preferred Stock (?Series A Preferred?) are both convertible into Series B Convertible Preferred Stock (?Series B Preferred?) at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F5 · derivative.expiration_date: Shares of Series A Preferred may be redeemed at any time at the option of the holder beginning on the sixth anniversary date of December 28, 2017.

F2 · balance_after: The Convertible Senior Subordinated Loan Notes (the ?Notes?) and Series A Convertible Preferred Stock (?Series A Preferred?) are both convertible into Series B Convertible Preferred Stock (?Series B Preferred?) at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F4 · balance_after: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · balance_after: Assuming the conversion of both the Notes and the Series A Preferred into Series B Preferred and the Series B Preferred into Common Stock, the Reporting Persons in the aggregate will own 1,093,600 shares of Common Stock, which represent approximately 36.8% of the Company?s outstanding shares of Common Stock (assuming the conversion of the securities) (not including restricted stock held by Messrs. Horowitz and Tirpak, who serve as directors of the Company, received as director compensation).

F7 · balance_after: Due to his positions with Palm Management (US) LLC and affiliated entities, Mr. Palmer may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by Palm Global Small Cap Master Fund LP (the "Fund"), Palm Active Dental, LLC ("PAD") and Palm Active Dental II, LP ("PAD II"). Mr. Palmer disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Palm Management (US) LLC, as the investment manager of the Fund, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by the Fund. Due to their positions with the Fund and Palm Management (US) LLC, Messrs. Horowitz and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by the Fund. Messrs. Horowitz and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F8 · balance_after: Palm Active Partners Management, LLC, as the investment manager of PAD and PAD II, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Due to their positions as managing directors of Palm Active Partners Management, LLC, Messrs. Horowitz, Palmer and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Messrs. Horowitz, Palmer and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

Read SEC document
August 15, 2018 Filed Aug 17, 2018 16:25 UTC BIRNER DENTAL MANAGEMENT SERVICES INC BDMS · Entity 161087 PurchaseConvertible Senior Subordinated Secured Loan Notes · Derivative Not disclosed $467,000.00 Strike: $5.00 $467,000.00
Disclosure

SEC source: 0001144204-18-045368 · tv501267_4.xml · derivative · entry 3

Palm Management (US) LLC · CIK 0001726497 · Director · 10% owner

Palm Active Dental LLC · CIK 0001726515 · Director · 10% owner

Palm Global Small Cap Master Fund LP · CIK 0001726444 · Director · 10% owner

Palm Active Dental II, LP · CIK 0001750234 · Director · 10% owner

Palm Active Partners Management, LLC · CIK 0001750348 · Director · 10% owner

Palmer Bradley C · CIK 0001726523 · 10% owner

Tirpak Bradley M · CIK 0001484439 · Director · 10% owner

Horowitz Joshua · CIK 0001612424 · Director · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · Palm Active Dental II, LP

Disclosed balance after: Not disclosed

Underlying: Common Stock · 93,400 shares

Expires not disclosed

F2 · derivative.exercise_date: The Convertible Senior Subordinated Loan Notes (the ?Notes?) and Series A Convertible Preferred Stock (?Series A Preferred?) are both convertible into Series B Convertible Preferred Stock (?Series B Preferred?) at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F3 · derivative.expiration_date: The maturity date for the Notes is September 30, 2023.

F2 · valueOwnedAfter: The Convertible Senior Subordinated Loan Notes (the ?Notes?) and Series A Convertible Preferred Stock (?Series A Preferred?) are both convertible into Series B Convertible Preferred Stock (?Series B Preferred?) at any time at the option of the holder, which Series B Preferred is then convertible into Common Stock at any time at the option of the holder.

F4 · valueOwnedAfter: Each share of Series A Preferred is convertible into such number of shares of Series B Preferred as is determined by dividing the Series A Preference Price ($1,000 per share of Series A Preferred), plus any and all accrued and unpaid dividends, by $5. Each share of Series B Preferred is convertible into such number of shares of Common Stock as is determined by dividing the Series B Preference Price ($5 per share of Series B Preferred), plus any and all accrued and unpaid dividends, by the Conversion Price ($5) then in effect.

F6 · valueOwnedAfter: Assuming the conversion of both the Notes and the Series A Preferred into Series B Preferred and the Series B Preferred into Common Stock, the Reporting Persons in the aggregate will own 1,093,600 shares of Common Stock, which represent approximately 36.8% of the Company?s outstanding shares of Common Stock (assuming the conversion of the securities) (not including restricted stock held by Messrs. Horowitz and Tirpak, who serve as directors of the Company, received as director compensation).

F7 · valueOwnedAfter: Due to his positions with Palm Management (US) LLC and affiliated entities, Mr. Palmer may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by Palm Global Small Cap Master Fund LP (the "Fund"), Palm Active Dental, LLC ("PAD") and Palm Active Dental II, LP ("PAD II"). Mr. Palmer disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. Palm Management (US) LLC, as the investment manager of the Fund, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by the Fund. Due to their positions with the Fund and Palm Management (US) LLC, Messrs. Horowitz and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by the Fund. Messrs. Horowitz and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

F8 · valueOwnedAfter: Palm Active Partners Management, LLC, as the investment manager of PAD and PAD II, may be deemed to be a beneficial owner of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Due to their positions as managing directors of Palm Active Partners Management, LLC, Messrs. Horowitz, Palmer and Tirpak may be deemed to be beneficial owners of the shares of Common Stock disclosed as directly owned by PAD and PAD II. Messrs. Horowitz, Palmer and Tirpak disclaim beneficial ownership of these shares except to the extent of their respective pecuniary interest therein.

Read SEC document

Value uses the disclosed total when available, otherwise shares × reported transaction price. It is not an estimate of exercise cash cost or investment performance.