-----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, TzH8u9gRfz9ZUzCfa7gSJHJ2AmXiUU6vYmiFvOisB2qirNho7KlxfeufOqTO7vDl R69MXiyLX4Wsizkqs0AOwA== 0001209191-09-042141.txt : 20090826 0001209191-09-042141.hdr.sgml : 20090826 20090826165439 ACCESSION NUMBER: 0001209191-09-042141 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090825 FILED AS OF DATE: 20090826 DATE AS OF CHANGE: 20090826 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DURRIE DANIEL S CENTRAL INDEX KEY: 0001358010 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 091036770 MAIL ADDRESS: STREET 1: C/O BIOLASE TECHNOLOGY INC STREET 2: 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 2009-08-25 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001358010 DURRIE DANIEL S 4 CROMWELL IRVINE CA 92618 1 0 0 0 Common Stock 2009-08-25 4 M 0 3750 1.24 A 58736 D Stock Option (right to buy) 1.24 2009-08-25 4 M 0 3750 1.24 D 2009-08-20 2019-05-20 Common Stock 3750 11250 D /s/ Michael C. Carroll, Attorney-in-Fact for Daniel S. Durrie 2009-08-26 -----END PRIVACY-ENHANCED MESSAGE-----