0001209191-12-032496.txt : 20120605 0001209191-12-032496.hdr.sgml : 20120605 20120605213604 ACCESSION NUMBER: 0001209191-12-032496 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120515 FILED AS OF DATE: 20120605 DATE AS OF CHANGE: 20120605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arrow Alexander K. CENTRAL INDEX KEY: 0001497166 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 12890607 MAIL ADDRESS: STREET 1: PO BOX 3094 CITY: REDWOOD CITY STATE: CA ZIP: 94064 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIOLASE, 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: BIOLASE TECHNOLOGY INC DATE OF NAME CHANGE: 19941117 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0305 4/A 2012-05-15 2012-05-18 0 0000811240 BIOLASE, INC BLTI 0001497166 Arrow Alexander K. C/O 4 CROMWELL IRVINE CA 92618 1 0 0 0 Common Stock 2012-05-15 4 P 0 2000 2.41 A 50775 D The purpose of this Amended Form 4 is solely to correctly categorize the transactions as open market purchases. All other information disclosed in the reporting person's original Form 4 filed with the Securities and Exchange Commission on May 18, 2012 was accurately reported. /s/ Michael C. Carroll, attorney-in-fact for Alexander K. Arrow 2012-06-05