-----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, FF39HCZK9XVVT4Q+dk6r2JbL8hlC48OwoDDtv8ZlmN5hWyQDFNVyp54LPx9qHcXj 1pTce7Ir1zApaTqPGdNgkA== 0001209191-09-042342.txt : 20090827 0001209191-09-042342.hdr.sgml : 20090827 20090827171649 ACCESSION NUMBER: 0001209191-09-042342 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090825 FILED AS OF DATE: 20090827 DATE AS OF CHANGE: 20090827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Capallo Fred CENTRAL INDEX KEY: 0001426399 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 091040448 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 2009-08-25 1 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001426399 Capallo Fred 4 CROMWELL IRVINE CA 92618 0 1 0 0 Interim Chief Financial Off. Common Stock 2009-08-25 4 M 0 8333 2.26 D 0 D Stock Option (right to buy) 0.93 2009-08-25 4 M 0 8333 0.93 D 2018-11-20 Common Stock 8333 0 D One-half of the option shares vested on February 20, 2009, and one-half of the option shares vested on May 20, 2009. /s/ Frederick M. Capallo 2009-08-26 -----END PRIVACY-ENHANCED MESSAGE-----