0001209191-14-055086.txt : 20140829
0001209191-14-055086.hdr.sgml : 20140829
20140829173324
ACCESSION NUMBER: 0001209191-14-055086
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140828
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: TALEVICH JAMES R
CENTRAL INDEX KEY: 0001243895
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 141076001
MAIL ADDRESS:
STREET 1: 20202 WINDROW DR
CITY: LAKE FOREST
STATE: CA
ZIP: 92630
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-08-28
0
0000811240
BIOLASE, INC
BIOL
0001243895
TALEVICH JAMES R
4 CROMWELL
IRVINE
CA
92618
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
68928
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 James R. Talevich
2014-08-29