-----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, FuqLJbkP03sRZeuHIfOtGTNlthjuVog685F3ff1g7NFkBY32BrRYx6utvC95THzb ZERTKwHr3vWHJm89o8vwaQ== 0000912057-00-026078.txt : 20000524 0000912057-00-026078.hdr.sgml : 20000524 ACCESSION NUMBER: 0000912057-00-026078 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000523 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 13D/A SEC ACT: SEC FILE NUMBER: 005-47361 FILM NUMBER: 642341 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: ODONNELL FRANCIS E JR CENTRAL INDEX KEY: 0001066040 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 709 THE HAMPTONS LANE CITY: TOWN & COUNTRY STATE: MO ZIP: 63017 BUSINESS PHONE: 3145799725 MAIL ADDRESS: STREET 1: 709 THE HAMPTONS LANE CITY: CHESTERFIELD STATE: MO ZIP: 63017 SC 13D/A 1 SCHEDULE 13D SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ------------------------------ SCHEDULE 13D (Rule 13d-101) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(a) (Amendment No. 1)* BioLase Technology, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 090911108 - -------------------------------------------------------------------------------- (CUSIP Number) Stephen Tartamella, BioLase Technology, Inc., 981 Calle Amanecer, SAN CLEMENTE, CALIFORNIA 92673 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) November 15, 1999 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of This Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box / /. NOTE. Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. SEE Rule 13d-7 for other parties to whom copies are to be sent. - ------------------------------------ * 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 disclosures provided in a prior cover page. The information required on 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 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). CUSIP No. 090911108 13D Page 2 of 3 Pages --------------------------- 1. NAME OF REPORTING PERSON: FRANCIS E. O'DONNELL, JR. 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ 3. SEC USE ONLY 4. SOURCE OF FUNDS* - Not Applicable 5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e) / / 6. CITIZENSHIP OR PLACE OF ORGANIZATION -- U.S.A. NUMBER OF 7. SOLE VOTING POWER - 0(1) SHARES BENEFICIALLY 8. SHARED VOTING POWER - 0(1) OWNED BY EACH 9. SOLE DISPOSITIVE POWER - 0(1) REPORTING PERSON WITH 10. SHARED DISPOSITIVE POWER - 0(1) 11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON - 0 12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES /x/ 13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) - 0% 14. TYPE OF REPORTING PERSON* -- CO, PN, OO, IN *SEE INSTRUCTIONS BEFORE FILLING OUT! - --------------- 1 Ownership is reported as 0% because ownership is below 5% as set forth in subsection (e) of Item 5 below. CUSIP No. 090911108 13D Page 3 of 3 Pages --------------------------- SCHEDULE 13D AMENDMENT NO. 1 Pursuant to Rule 13d-2(e) under the Securities Exchange Act of 1934, the sole purpose of filing this first electronic Schedule 13D amendment is to report a change in percentage of beneficial ownership resulting from the Issuer's issuance of additional securities that terminates the filer's (the "Reporting Person") obligation to report. Accordingly, pursuant to Rule 13d-2(e), this Amendment No. 1 does not include a restatement of the entire text of the original Schedule 13D. Item 5 is amended to add the information as set forth below. Capitalized terms not otherwise defined have the meanings ascribed to them in the original Schedule 13D. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER (a) Not applicable. (b) Not applicable. (c) Not applicable. (d) Not applicable. (e) On November 15, 1999, the Issuer filed a Quarterly Report on Form 10-Q disclosing that 17,732,565 shares of its Common Stock were outstanding as of November 10, 1999. As a result, the Reporting Person, in combination with the other persons whose holdings were reported on the original Schedule 13D, ceased to be the beneficial owner of 5% or more of the outstanding shares of the Issuer's Common Stock. 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. Dated: May 23, 2000 /s/ Francis E. O'Donnell, Jr. ---------------------------------- Name: Francis E. O'Donnell, Jr. -----END PRIVACY-ENHANCED MESSAGE-----