-----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, UJzSK1eTto9utMsFgzITzFLyqGnzreyADYNsZSG56JXpiNqT5PWFcgmhF9TvCe0m 0LWZ9/wlgJ10EejBHgIJvw== 0001209191-09-036490.txt : 20090714 0001209191-09-036490.hdr.sgml : 20090714 20090714200111 ACCESSION NUMBER: 0001209191-09-036490 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090714 FILED AS OF DATE: 20090714 DATE AS OF CHANGE: 20090714 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scott Brett L CENTRAL INDEX KEY: 0001405195 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 09944689 MAIL ADDRESS: STREET 1: 15770 LAGUNA CANYON ROAD STREET 2: SUITE 150 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 2009-07-14 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001405195 Scott Brett L 4 CROMWELL IRVINE CA 92618 0 1 0 0 Chief Financial Officer Stock Option (right to buy) 1.69 2009-07-14 4 A 0 220000 0.00 A 2019-07-14 Common Stock 220000 220000 D The stock option is exercisable for one-third (1/3) of the shares on July 14, 2010 and the remaining shares are exercisable in a series of eight successive three-month equal installments over a twenty-four (24) month period measured from July 14, 2010, the first anniversary of the grant date. /s/ Michael C. Carroll, Attorney-in-Fact for Brett L. Scott 2009-07-14 -----END PRIVACY-ENHANCED MESSAGE-----