0000950103-15-006644.txt : 20150820 0000950103-15-006644.hdr.sgml : 20150820 20150820142343 ACCESSION NUMBER: 0000950103-15-006644 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150820 FILED AS OF DATE: 20150820 DATE AS OF CHANGE: 20150820 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIO REFERENCE LABORATORIES INC CENTRAL INDEX KEY: 0000792641 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 222405059 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 481 EDWARD H ROSS DR CITY: ELMWOOD PARK STATE: NJ ZIP: 07407-3118 BUSINESS PHONE: 2017912186 MAIL ADDRESS: STREET 1: 481 EDWARD H ROSS DRIVE CITY: ELMWOOD PARK STATE: NJ ZIP: 07407-3118 FORMER COMPANY: FORMER CONFORMED NAME: MED MOBILE INC DATE OF NAME CHANGE: 19891115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRODMAN MARC CENTRAL INDEX KEY: 0001189452 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15266 FILM NUMBER: 151066055 MAIL ADDRESS: STREET 1: 481B EDWARD H ROSS DRIVE CITY: ELMWOOD PARK STATE: NJ ZIP: 07407 4 1 dp58947_4-grodman.xml FORM 4 X0306 4 2015-08-20 1 0000792641 BIO REFERENCE LABORATORIES INC BRLI 0001189452 GRODMAN MARC 481 EDWARD H. ROSS DRIVE ELMWOOD PARK NJ 07407 1 1 0 0 President and CEO Common Stock 2015-08-20 4 D 0 1937502 D 0 D Common Stock 2015-08-20 4 D 0 159464 D 0 I By Trust Common Stock 2015-08-20 4 D 0 244834 D 0 I By Spouse and Children Common Stock 2015-08-20 4 D 0 200000 D 0 I By Spouse's Trust Common Stock 2015-08-20 4 D 0 200000 D 0 I By Trust As of the effective time of the transactions contemplated by the Agreement and Plan of Merger, dated as of June 3, 2015 (the "Merger Agreement"), by and among the Issuer, OPKO Health, Inc., a Delaware corporation ("OPKO"), and Bamboo Acquisition, Inc., a New Jersey corporation, each share of the Issuer's common stock held by the reporting person was disposed of pursuant to the Merger Agreement in exchange for 2.75 shares of OPKO common stock. Represents shares held in a successor trust to a grantor retained annuity trust of which Pam Gau Grodman, the reporting person's spouse, and Rich Faherty are trustees. Represents 145,834 shares directly owned by the reporting person's wife and 99,000 shares owned by their children. The reporting person disclaims beneficial ownership of these 244,834 shares. Represents 200,000 shares held in trust for the benefit of the reporting person's wife and children, of which the reporting person and Mr. Ariel Fuentes are the co-trustees. Represents 200,000 shares held in trust for the benefit of the reporting person and children, of which the reporting person's wife is the trustee. /s/ Marc Grodman 2015-08-20