-----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, FP5U4lwHqipkM/yxiHzOS5gdmZHCsFtPuD6Z1UTcW9jWoPU+C2/aV6nBNO+eHqox IkpW6You1ic+RbvK6X/c9A== 0001019687-05-000171.txt : 20050126 0001019687-05-000171.hdr.sgml : 20050126 20050126153030 ACCESSION NUMBER: 0001019687-05-000171 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050124 FILED AS OF DATE: 20050126 DATE AS OF CHANGE: 20050126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haefner James CENTRAL INDEX KEY: 0001315559 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 05549976 BUSINESS ADDRESS: BUSINESS PHONE: 888-424-6527 MAIL ADDRESS: STREET 1: 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 1 edgar.xml PRIMARY DOCUMENT X0202 3 2005-01-24 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001315559 Haefner James 981 CALLE AMANECER SAN CLEMENTE, CA 92673 0 1 0 0 Executive VP of Sales No securities beneficially owned 0 D James Haefner 2005-01-26 -----END PRIVACY-ENHANCED MESSAGE-----