0001209191-12-042048.txt : 20120815
0001209191-12-042048.hdr.sgml : 20120815
20120815193310
ACCESSION NUMBER: 0001209191-12-042048
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120814
FILED AS OF DATE: 20120815
DATE AS OF CHANGE: 20120815
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: 121038320
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
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-08-14
0
0000811240
BIOLASE, INC
BLTI
0001497166
Arrow Alexander K.
C/O 4 CROMWELL
IRVINE
CA
92618
1
0
0
0
Common Stock
2012-08-14
4
P
0
1363
1.71
A
93998
D
Common Stock
2012-08-14
4
P
0
1100
1.72
A
95038
D
Common Stock
2012-08-14
4
P
0
1237
1.73
A
96275
D
Common Stock
2012-08-14
4
P
0
377
1.70
A
96652
D
Common Stock
2012-08-14
4
P
0
4800
1.67
A
101452
D
Common Stock
2012-08-14
4
P
0
723
1.68
A
102175
D
Common Stock
2012-08-14
4
P
0
400
1.69
A
102575
D
/s/ Michael C. Carroll, attorney-in-fact for Alexander K. Arrow
2012-08-15