| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| SMITH PHILIP IRVING | Director | 4503 BROWNDALE AVENUE, EDINA | /s/ Maxwell Black as Attorney-in-Fact for Philip Smith | 03 Dec 2025 | 0001235464 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | PARK | Common Stock | 2.8K | 02 Dec 2025 | Direct | F1 |
| Id | Content |
|---|---|
| F1 | Includes 2,800 shares of restricted stock issued to the Reporting Person (the "Restricted Stock"), which shares vest as follows: (i) 25% on the completion of the Issuer's initial public offering; and (ii) thereafter, at the rate of 6.25% per quarter. The Restricted Stock is subject to accelerated vesting in connection with a change in control of the Issuer in accordance with the terms of the Park Dental Partners, Inc. 2023 Restricted Stock Plan and the applicable award agreement. The Restricted Stock does not confer any voting rights until the applicable shares have vested and the holder of Restricted Stock has become the record owner of such vested shares. |