0001209191-13-031630.txt : 20130611 0001209191-13-031630.hdr.sgml : 20130611 20130611170649 ACCESSION NUMBER: 0001209191-13-031630 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130606 FILED AS OF DATE: 20130611 DATE AS OF CHANGE: 20130611 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 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: 13906691 MAIL ADDRESS: STREET 1: PO BOX 3094 CITY: REDWOOD CITY STATE: CA ZIP: 94064 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2013-06-06 0 0000811240 BIOLASE, INC BIOL 0001497166 Arrow Alexander K. C/O 4 CROMWELL IRVINE CA 92618 1 1 0 0 President and COO Stock Option (right to buy) 4.00 2013-06-06 4 A 0 350000 0.00 A 2020-06-06 Common Stock 350000 474500 D The stock option shall vest and be exercisable in consecutive equal quarterly portions over a four-year period commencing on the first anniversary of the date of grant. /s/ Michael C. Carroll, attorney-in-fact 2013-06-10