-----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, H23ZlfE6f6xV9RP4sgoKJXl7fAs4Q3B4hRg9A+UtOnhlPnmCrfwCuqNKj6mdk+q5 cpPZNNQvYdy0PsDmagDDHw== 0001209191-11-008048.txt : 20110209 0001209191-11-008048.hdr.sgml : 20110209 20110209144637 ACCESSION NUMBER: 0001209191-11-008048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110208 FILED AS OF DATE: 20110209 DATE AS OF CHANGE: 20110209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PIGNATELLI FEDERICO CENTRAL INDEX KEY: 0001270560 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 11586629 MAIL ADDRESS: STREET 1: 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 2011-02-08 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001270560 PIGNATELLI FEDERICO 4 CROMWELL IRVINE CA 92618 1 1 0 0 Chairman and CEO Common Stock 2011-02-08 4 M 0 100000 2.89 A 1480250 D Common Stock 2011-02-08 4 M 0 50000 0.78 A 1530250 D Common Stock 2011-02-08 4 M 0 17500 1.45 A 1547750 D Stock Option (right to buy) 2.89 2011-02-08 4 M 0 100000 2.89 D 2011-02-08 2018-01-07 Common Stock 100000 250000 D Stock Option (right to buy) 0.78 2011-02-08 4 M 0 50000 0.78 D 2011-02-08 2019-03-10 Common Stock 50000 200000 D Stock Option (right to buy) 1.45 2011-02-08 4 M 0 17500 1.45 D 2011-02-08 2020-07-02 Common Stock 17500 182500 D /s/ Michael C. Carroll, Attorney-in-fact for Federico Pignatelli 2011-02-09 -----END PRIVACY-ENHANCED MESSAGE-----