0001209191-11-044679.txt : 20110817 0001209191-11-044679.hdr.sgml : 20110817 20110817171616 ACCESSION NUMBER: 0001209191-11-044679 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110815 FILED AS OF DATE: 20110817 DATE AS OF CHANGE: 20110817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arrow Alexander K. CENTRAL INDEX KEY: 0001497166 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 111043140 MAIL ADDRESS: STREET 1: PO BOX 3094 CITY: REDWOOD CITY STATE: CA ZIP: 94064 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 X0304 4 2011-08-15 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001497166 Arrow Alexander K. C/O 4 CROMWELL IRVINE CA 92618 1 0 0 0 Common Stock 2011-08-15 4 P 0 6200 3.05 A 30700 D Common Stock 2011-08-15 4 P 0 5000 3.13 A 35700 D Common Stock 2011-08-16 4 P 0 5000 2.97 A 40700 D Common Stock 2011-08-17 4 P 0 2800 2.85 A 43500 D /s/ Michael C. Carroll, Attorney-in-Fact for Alexander K. Arrow 2011-08-17