-----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, VoazjsTJlT+klfZPldVzgLeH7KoDF1DyqOJN0L/zvi0jsaeDgJ8CxLwcDJPnnnph uVm8ZaXmg7GcnPeGCjjctQ== 0001209191-10-053719.txt : 20101108 0001209191-10-053719.hdr.sgml : 20101108 20101108164223 ACCESSION NUMBER: 0001209191-10-053719 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101104 FILED AS OF DATE: 20101108 DATE AS OF CHANGE: 20101108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nemoy Norman J. CENTRAL INDEX KEY: 0001497017 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 101172889 MAIL ADDRESS: STREET 1: 8635 W. THIRD STREET STREET 2: #1W CITY: LOS ANGELES STATE: CA ZIP: 90048 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 2010-11-04 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001497017 Nemoy Norman J. C/O 4 CROMWELL IRVINE CA 92618 1 0 0 0 Stock Option (right to buy) 1.77 2010-11-04 4 A 0 35000 0.00 A 2010-11-04 2015-11-04 Common Stock 35000 35000 D The option granted is vested and is immediately exercisable for all of the option shares. /s/ Michael C. Carroll, attorney-in-fact for Norman J. Nemoy. 2010-11-08 -----END PRIVACY-ENHANCED MESSAGE-----