-----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, U1JEFAF20jhKZcjdJpLHleErurj08cd7A3s1EgSwnIWrTr39xhMGauw/KSSVtD7O VLJAtaRLPK0aeW0Vap2AyQ== 0001209191-09-015628.txt : 20090311 0001209191-09-015628.hdr.sgml : 20090311 20090311182103 ACCESSION NUMBER: 0001209191-09-015628 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090310 FILED AS OF DATE: 20090311 DATE AS OF CHANGE: 20090311 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MULDER DAVID M CENTRAL INDEX KEY: 0001208781 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 09673637 BUSINESS ADDRESS: BUSINESS PHONE: 949-361-1200 MAIL ADDRESS: STREET 1: 4 CROMWELL CITY: IRVINE STATE: CA ZIP: 92618 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-03-10 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001208781 MULDER DAVID M 4 CROMWELL IRVINE CA 92618 1 1 0 0 Chief Executive Officer Stock Option (right to buy) 0.78 2009-03-10 4 A 0 50000 0.00 A 2009-03-10 2019-03-10 Common Stock 50000 50000 D /s/ Frederick M. Capallo, attorney-in-fact for David M. Mulder 2009-03-11 -----END PRIVACY-ENHANCED MESSAGE-----