-----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, VKQP3YmSYb6DfQKJx8d89iU1CqtnxwmFbnb4xbt5qF9w7TSCdSesLktsuXFHUSun /wN/m1ZHHVF79mkPD/PN+A== 0001209191-07-039462.txt : 20070629 0001209191-07-039462.hdr.sgml : 20070629 20070629142816 ACCESSION NUMBER: 0001209191-07-039462 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070627 FILED AS OF DATE: 20070629 DATE AS OF CHANGE: 20070629 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: 4 CROMWELL CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-361-1200 MAIL ADDRESS: STREET 1: 4 CROMWELL CITY: IRVINE STATE: CA ZIP: 92618 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jones Jeffrey W CENTRAL INDEX KEY: 0001333418 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 07950169 BUSINESS ADDRESS: BUSINESS PHONE: 949-361-1200 MAIL ADDRESS: STREET 1: 4 CROMWELL CITY: IRVINE STATE: CA ZIP: 92618 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2007-06-27 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001333418 Jones Jeffrey W 4 CROMWELL IRVINE CA 92618 0 1 0 0 President and CEO Stock Option (right to buy) 5.95 2007-06-27 4 A 0 50000 0.00 A 2017-06-27 Common Stock 50000 50000 D This Option shall become exercisable in a series of twelve successive three-month equal installments upon the Reporting Person?s completion of each three months of Service over the thirty-six month period measured from June 27, 2007. In no event shall the Option become exercisable for any additional Option Shares after the Reporting Person?s cessation of Service. /s/Richard L. Harrison, Attorney-in-Fact for Jeffrey W. Jones 2007-06-28 -----END PRIVACY-ENHANCED MESSAGE-----