-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, N3PjL4wbWC3igIzqZ5fKi2KU8YlHzzwfnRpXt4+wGqgO47QQeadvFwV0HHN/Qe7J KzPP0DUBwUcc4xyVS/ySxQ== 0001181431-09-056626.txt : 20091215 0001181431-09-056626.hdr.sgml : 20091215 20091215102458 ACCESSION NUMBER: 0001181431-09-056626 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091214 FILED AS OF DATE: 20091215 DATE AS OF CHANGE: 20091215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN DENTAL PARTNERS INC CENTRAL INDEX KEY: 0001028087 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 043297858 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 EDGEWATER PLACE STREET 2: SUITE 430 CITY: WAKEFIELD STATE: MA ZIP: 01880-1249 BUSINESS PHONE: 781-224-0880 MAIL ADDRESS: STREET 1: 401 EDGEWATER PLACE STREET 2: SUITE 430 CITY: WAKEFIELD STATE: MA ZIP: 01880-1249 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOUFFLET GERARD CENTRAL INDEX KEY: 0001115048 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23363 FILM NUMBER: 091240684 MAIL ADDRESS: STREET 1: C/O CURATIVE HEALTH SERVICES INC STREET 2: 61 SPIT BROOK ROAD CITY: NASHUA STATE: NH ZIP: 03060 4 1 rrd259720.xml X0303 4 2009-12-14 0 0001028087 AMERICAN DENTAL PARTNERS INC ADPI 0001115048 MOUFFLET GERARD ONE BEACON STREET - 13TH FLOOR BOSTON MA 02108 1 0 0 0 Common Stock 2009-12-14 4 S 0 1000 12.75 D 2224 D Mark W. Vargo, Attorney-in-Fact and Agent 2009-12-15 -----END PRIVACY-ENHANCED MESSAGE-----