-----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, AbVHxPE0lEmqwx2cIslB9vWDkirE3PstxPB4RHD066pSBAQ0JZ6ctwY0c7ReXCW/ uhnpm0qO1WZZqpj7K1QoqA== 0001209191-10-059681.txt : 20101210 0001209191-10-059681.hdr.sgml : 20101210 20101210163836 ACCESSION NUMBER: 0001209191-10-059681 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101130 FILED AS OF DATE: 20101210 DATE AS OF CHANGE: 20101210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Furry Frederick D. CENTRAL INDEX KEY: 0001507429 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 101245405 MAIL ADDRESS: STREET 1: 18372 OXBORO LANE CITY: HUNTINGTON BEACH STATE: CA ZIP: 92648 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 2010-11-30 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001507429 Furry Frederick D. C/O 4 CROMWELL IRVINE CA 92618 0 1 0 0 Chief Financial Officer Stock Option (right to buy) 2.00 2010-11-30 4 A 0 150000 0.00 A 2015-11-30 Common Stock 150000 150000 D The option granted shall vest and be exercisable one-sixth on the sixth month anniversary of the grant date, with the remaining option vesting and being exercisable in a series of ten (10) consecutive three-month equal installments over a thirty (30) month period. /s/ Michael C. Carroll, attorney-in-fact for Frederick D. Furry 2010-12-10 -----END PRIVACY-ENHANCED MESSAGE-----