Tirpak Bradley M

SEC source: 0001654954-19-013708 · section16.xml · nonDerivative · entry 4

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 50,000

SEC source: 0001654954-19-013708 · section16.xml · nonDerivative · entry 3

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 25,000

SEC source: 0001654954-19-013708 · section16.xml · nonDerivative · entry 2

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 18,200

SEC source: 0001654954-19-013708 · section16.xml · nonDerivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 3,200

SEC source: 0001209191-19-031786 · doc4.xml · derivative · entry 2

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 8,650

Underlying: Common Stock · 8,650 shares

Expires 2029-05-17

SEC source: 0001209191-19-031786 · doc4.xml · nonDerivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 675,471

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.

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.

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.

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.

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.

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.

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").

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").

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").

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").

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").

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

SEC source: 0001562180-18-003086 · primarydocument.xml · nonDerivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 2,000

F1 · shares: Restricted stock that vests in two equal installments on June 20, 2019 and June 20, 2020

F2 · balance_after: On January 3, 2018, Palm Management (US) LLC, Palm Global Small Cap Master Fund LP (the "Fund"), Palm Active Dental, LLC (the "LLC"), the Reporting Person and certain other individuals filed a Schedule 13D regarding the Company under which the Fund and the LLC reported holding an aggregate of 1,000,000 shares of Common Stock issuable upon the conversion of certain securities of the Company into Common Stock. The Reporting Person disclaims beneficial ownership of these securities.

SEC source: 0001209191-18-033463 · doc4.xml · derivative · entry 2

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 6,000

Underlying: Common Stock · 6,000 shares

Expires 2028-05-23

SEC source: 0001209191-18-033463 · doc4.xml · nonDerivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 670,090

SEC source: 0001437749-17-010081 · rdgdoc.xml · derivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 306,366

Underlying: COMMON STOCK · 50,000 shares

Expires 2022-05-23

F1 · kind: Option grant in lieu of cash for fee earned as director for the three months ended March 31, 2017.

SEC source: 0001209191-17-035104 · doc4.xml · derivative · entry 2

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 8,570

Underlying: Common Stock · 8,570 shares

Expires 2027-05-22

SEC source: 0001209191-17-035104 · doc4.xml · nonDerivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 666,508

SEC source: 0001209191-16-150146 · doc4.xml · derivative · entry 2

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 117,447 shares

Expires 2016-11-04

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.

SEC source: 0001209191-16-150146 · doc4.xml · nonDerivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 661,233

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.

SEC source: 0001209191-17-026392 · doc4a.xml · derivative · entry 2

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 117,450 shares

Expires 2016-11-04

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 · shares: A total of three shares were omitted from the reporting person's original Form 4.

F1 · derivative.underlying_shares: A total of three shares were omitted from the reporting person's original Form 4.

SEC source: 0001209191-17-026392 · doc4a.xml · nonDerivative · entry 1

Tirpak Bradley M · CIK 0001484439 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 661,336

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 · shares: A total of three shares were omitted from the reporting person's original Form 4.

F1 · balance_after: A total of three shares were omitted from the reporting person's original Form 4.