0001209191-14-055084.txt : 20140829
0001209191-14-055084.hdr.sgml : 20140829
20140829173046
ACCESSION NUMBER: 0001209191-14-055084
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140827
FILED AS OF DATE: 20140829
DATE AS OF CHANGE: 20140829
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: CLARK PAUL N
CENTRAL INDEX KEY: 0001222248
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 141075988
MAIL ADDRESS:
STREET 1: 5301 STEVENS CREEK BLVD
STREET 2: MS 1A-LC
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-08-27
0
0000811240
BIOLASE, INC
BIOL
0001222248
CLARK PAUL N
4 CROMWELL
IRVINE
CA
92603
1
0
0
0
Stock Option (right to buy)
2.17
2014-08-27
4
A
0
41428
0.00
A
2024-08-27
Common Stock
41428
65178
D
Restricted Stock Unit
2014-08-27
4
A
0
9217
0.00
A
Common Stock
9217
9217
D
The stock option fully vests and is immediately exercisable on the first anniversary of the date of grant.
Each restricted stock unit represents the right to receive, at settlement, one share of common stock.
The restricted stock unit award fully vests and is immediately exercisable on the first anniversary of the date of the award.
/s/ Michael C. Carroll, attorney-in-fact for Paul N. Clark
2014-08-29