UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sirona Holdings Luxco S.C.A. 8-10, RUE MATHIAS HARDT L-1717, N4 NONE |
 |  X |  |  |
Sirona Holdings S.A. 10, RUE HENRI M. SCHNADT L-2530, N4 NONE |
 |  |  | Sole Manager of 10% owner |
MDCP IV Global Investments LP C/O WALKERS SPV LIMITED, WALKER HOUSE PO BOX 908GT, MARY STREET GEORGE TOWN, GRAND CAYMAN, E9 NONE |
 |  |  | Primary shareholder of manager |
MDCP IV Global GP, LP C/O WALKERS SPV LIMITED, WALKER HOUSE PO BOX 908GT, MARY STREET GEORGE TOWN, GRAND CAYMAN, E9 NONE |
 |  |  | Indirect GP of 10% owner |
MDP Global Investors LTD C/O WALKERS SPV LIMITED, WALKER HOUSE PO BOX 908GT, MARY STREET GEORGE TOWN, GRAND CAYMAN, E9 NONE |
 |  |  | Indirect GP of 10% owner |
Sirona Holdings Luxco S.C.A., by Sirona Holdings S.A., its Manager, by /s/ Nicholas W. Alexos, its "A" Director | 10/05/2005 | |
**Signature of Reporting Person | Date | |
Sirona Holdings S.A., by /s/ Nicholas W. Alexos, its "A" Director | 10/05/2005 | |
**Signature of Reporting Person | Date | |
MDCP IV Global Investments LP, by MDCP IV Global GP, LP, its General Partner, by MDP Global Investors Limited, its General Partner, by /s/ Nicholas W. Alexos, its Managing Director | 10/05/2005 | |
**Signature of Reporting Person | Date | |
MDCP IV Global GP, LP, by MDP Global Investors Limited, its General Partner, by /s/ Nicholas W. Alexos, its Managing Director | 10/05/2005 | |
**Signature of Reporting Person | Date | |
MDP Global Investors Limited, by /s/ Nicholas W. Alexos, its Managing Director | 10/05/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |