0001209191-14-048743.txt : 20140723 0001209191-14-048743.hdr.sgml : 20140723 20140723203118 ACCESSION NUMBER: 0001209191-14-048743 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140722 FILED AS OF DATE: 20140723 DATE AS OF CHANGE: 20140723 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: Furry Frederick D. CENTRAL INDEX KEY: 0001507429 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36385 FILM NUMBER: 14989797 MAIL ADDRESS: STREET 1: 18372 OXBORO LANE CITY: HUNTINGTON BEACH STATE: CA ZIP: 92648 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-07-22 0 0000811240 BIOLASE, INC BIOL 0001507429 Furry Frederick D. C/O 4 CROMWELL IRVINE CA 92618 0 1 0 0 Chief Financial Officer Common Stock 2014-07-22 4 P 0 13020 1.92 A 18020 D /s/ Michael C. Carroll, attorney-in-fact for Frederick D. Furry. 2014-07-23