SWENSON PETER G 4

4 · AMERICAN DENTAL PARTNERS INC · Filed Dec 14, 2004

Form 4

Period: 2004-12-13

VP - Market Development

Transactions

Exercise/Conversion
Non-qualified option to buy
2004-12-13−300→ 11,547 total
Exercise: $8.33From: 2000-11-12Exp: 2006-05-12→ Common stock (300 underlying)
Exercise/Conversion
Non-qualified option to buy
2004-12-13−2,685→ 11,547 total
Exercise: $7.88From: 2004-03-16Exp: 2011-03-16→ Common stock (2,685 underlying)
Exercise/Conversion
Non-qualified option to buy
2004-12-13−900→ 11,547 total
Exercise: $7.25From: 2003-02-25Exp: 2009-02-25→ Common stock (900 underlying)
Sale
Common stoc, par value $.01 per share
2004-12-13$18.75/sh−9,036$169,425→ 17,370 total(indirect: See General Remarks)
Exercise/Conversion
Non-qualified option to buy
2004-12-13−1,500→ 11,547 total
Exercise: $7.85From: 2004-02-25Exp: 2012-02-25→ Common stock (1,500 underlying)
Exercise/Conversion
Non-qualified option to buy
2004-12-13−2,250→ 11,547 total
Exercise: $8.98From: 2004-07-03Exp: 2013-07-03→ Common stock (2,250 underlying)
Exercise/Conversion
Non-qualified option to buy
2004-12-13−501→ 11,547 total
Exercise: $8.98From: 2004-07-03Exp: 2013-07-03→ Common stock (501 underlying)

Footnotes (5)

[F1]Option remains subject to further vesting on 2/25/2005 and 2006.
[F2]Option remains subject to further vesting on 3/16/2005.
[F3]Option remains subject to further vesting on 7/3/2005.
[F4]Option remains subject to further vesting on 7/3/2005, 2006, and 2007.
[F5]Total number of derivative securities beneficially owned (11,547) reflects all options held by Reporting Person pursuant to employee benefit plans of issuer.

Documents

1 file