-----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, CCOISH0TP+09JlcKlwCb3FiY6QIXH5T9S4bAFJ8909EwIezh4VgtWjHff3MWr5s0 6Ghxa+u2VyaFgSnWwTfVvQ== 0001019687-04-001725.txt : 20040811 0001019687-04-001725.hdr.sgml : 20040811 20040811085625 ACCESSION NUMBER: 0001019687-04-001725 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030630 FILED AS OF DATE: 20040811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grant Robert E CENTRAL INDEX KEY: 0001293753 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 04965797 BUSINESS ADDRESS: BUSINESS PHONE: 949-361-1200 MAIL ADDRESS: STREET 1: C/O BIOLASE TECHNOLOGY, INC. STREET 2: 981 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 ISSUER: 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 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 FORMER COMPANY: FORMER CONFORMED NAME: LASER MEDICAL TECHNOLOGY INC DATE OF NAME CHANGE: 19941117 FORMER COMPANY: FORMER CONFORMED NAME: LASER ENDO TECHNIC CORP DATE OF NAME CHANGE: 19920708 FORMER COMPANY: FORMER CONFORMED NAME: PAMPLONA CAPITAL CORP DATE OF NAME CHANGE: 19911104 3/A 1 edgar.xml PRIMARY DOCUMENT X0202 3/A 2003-06-30 2004-08-04 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001293753 Grant Robert E 981 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Interim VP of Bus. Development Common Stock 0 D 06/30/2003 Options to Purchase Common Stock 10.79 2003-09-30 2013-06-30 Common Stock 10000 D Options granted under the Company's 2002 Stock Incentive Plan, a plan meeting the requirements of 16b-3. The dates asociated with the option and exercise price have been corrected in columns 1, 2 and 4. The Date of Event Requiring Statement and Title have been corrected. Robert Grant 2004-08-10 -----END PRIVACY-ENHANCED MESSAGE-----