-----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, De5Ld8AsJTMsaa9yMBR94VFqE/Uvz6mL3eMdGTwrxNXO9fcjJSm4EOF9kKqk1X34 LQNRaqHiX9rMEvzcjHsqYA== 0000950135-96-004809.txt : 19961113 0000950135-96-004809.hdr.sgml : 19961113 ACCESSION NUMBER: 0000950135-96-004809 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19961112 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BIOLASE TECHNOLOGY INC CENTRAL INDEX KEY: 0000811240 STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843] IRS NUMBER: 870442441 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-47361 FILM NUMBER: 96659500 BUSINESS ADDRESS: STREET 1: 981 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 7143611200 MAIL ADDRESS: STREET 1: 981 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PROGRAM ONE INC /ADV CENTRAL INDEX KEY: 0000789623 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 061166053 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 17 TRIPP RD CITY: WOODSTOCK STATE: CT ZIP: 06281 BUSINESS PHONE: 8609630722 FORMER COMPANY: FORMER CONFORMED NAME: PROGRAM ONE INC /ADV DATE OF NAME CHANGE: 19961108 SC 13G 1 BIOLASE TECHNOLOGY ON BEHALF OF PROGRAM ONE 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. )* Biolase Technology, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.001 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 0-19627 - -------------------------------------------------------------------------------- (CUSIP Number) Check the following box if a fee is being paid with this / / statement. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). 2 CUSIP NO. 0-19627 13G PAGE 2 OF 4 PAGES - -------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Program One, Inc. d/b/a Perspective Advisory Group 06-1166053 - -------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /x/ - -------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION Delaware - -------------------------------------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 0 BENEFICIALLY ------------------------------------------------------------------------------------------ OWNED BY 6 SHARED VOTING POWER EACH 0 REPORTING ------------------------------------------------------------------------------------------ PERSON 7 SOLE DISPOSITIVE POWER WITH 0 ------------------------------------------------------------------------------------------ 8 SHARED DISPOSITIVE POWER 1,266,250* - --------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,266,250* - -------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 10.3% - -------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* CO - -------------------------------------------------------------------------------------------------------------- *Beneficial Ownership expressly disclaimed - --------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT! 3 Schedule 13G Program One, Inc. ITEM 1. (a) The name of the Issuer is Biolase Technology, Inc. (b) The address of the Issuer's principal executive offices is 981 Calle Amanecer, San Clemente, California 92673. ITEM 2. (a) The name of the person filing this Schedule 13G is Program One, Inc. d/b/a Perspective Advisory Group. (b) The address of the reporting person's principal business office is 17 Tripp Road, Woodstock, Connecticut 06281. (c) The filing person is a Delaware corporation. (d) The title of the class of securities for which this Schedule is being filed is Common Stock, $.001 par value. (e) The cusip number for the Issuer is 0-19627. ITEM 3. The filing person is an Investment Adviser registered under section 203 of the Investment Advisers Act of 1940. ITEM 4. OWNERSHIP. As of October 31, 1996, the reporting person may be deemed to beneficially own the following shares of the Issuer's outstanding Common Stock, $.001 par value. Beneficial ownership is, however, expressly disclaimed. (a) The reporting person may be deemed to beneficially own 1,266,250 shares of the Issuer's Common Stock (the "Shares"). (b) The Shares represent approximately 10.3% of the Class. (c) The Number of shares as to which the reporting person has (i) sole power to vote or to direct the vote is 0; (ii) shared power to vote or to direct the vote is 0; (iii) sole power to dispose or to direct the disposition of is 0; and (iv) shared power to dispose or to direct the disposition of is 1, 266,250. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. Not Applicable. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. All of the Shares reported hereunder are managed by the reporting person, a registered investment advisor, on behalf of various clients and are held in trusts for the benefit of the registered owners by third party trustees. Other than a shared power to dispose of the Shares, the registered owners retain all other ownership rights. 3 4 ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not Applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not Applicable. ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not Applicable. ITEM 10. CERTIFICATION. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. November 13, 1996 ---------------------------- DATE PROGRAM ONE, INC. D/B/A PERSPECTIVE ADVISORY GROUP BY: /s/ Robert K. Mann ------------------------- TITLE: President ---------------------- -----END PRIVACY-ENHANCED MESSAGE-----