-----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, RcP43Q2BADmu0/TGEffNconJC02Vbd6kRABoWU4A9GwAwDfWTUxehyPvFhrrg9JO TDhIcwKFWGryMEAEHTdLUg== 0001019687-04-001726.txt : 20040811 0001019687-04-001726.hdr.sgml : 20040811 20040811085653 ACCESSION NUMBER: 0001019687-04-001726 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040803 FILED AS OF DATE: 20040811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grant Robert E CENTRAL INDEX KEY: 0001293753 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 04965798 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 4/A 1 edgar.xml PRIMARY DOCUMENT X0202 4/A 2004-08-03 2004-08-04 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001293753 Grant Robert E 981 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Exec. VP, COO and Interim CFO Common Stock (owned) 0 D Common Stock 2004-08-03 4 P 0 1000 8.86 A 1000 D 6/30/03 Option to Purchase Common Stock 10.79 2003-06-30 4 A 0 10000 A 2003-09-30 2013-06-30 Common Stock 10000 10000 D 8/8/03 Option to Purchase Common Stock 11.02 2003-08-08 4 A 0 90000 A 2004-08-08 2013-08-08 Common Stock 90000 90000 D Options granted under the Company's 2002 Stock Incentive Plan, a plan meeting the requirements of 16b-3. The dates associated with the option and exercise price have been corrected in columns 1, 2, 3 and 6. Not applicable. The date associated with the option and the number of underlying securities have been corrected in columns 5 and 6. The Title has been corrected. Robert E. Grant 2004-08-10 -----END PRIVACY-ENHANCED MESSAGE-----