0001209191-15-027749.txt : 20150319 0001209191-15-027749.hdr.sgml : 20150319 20150319130427 ACCESSION NUMBER: 0001209191-15-027749 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150309 FILED AS OF DATE: 20150319 DATE AS OF CHANGE: 20150319 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: DREYER DAVID C CENTRAL INDEX KEY: 0001203607 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36385 FILM NUMBER: 15712322 MAIL ADDRESS: STREET 1: C/O SICOR INC STREET 2: 19 HUGHES CITY: IRVINE STATE: CA ZIP: 92618-1902 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-03-09 0 0000811240 BIOLASE, INC BIOL 0001203607 DREYER DAVID C C/O 4 CROMWELL IRVINE CA 92618 0 1 0 0 SVP / Chief Financial Officer Stock Option (right to buy) 1.99 2015-03-09 4 A 0 871710 0.00 A 2025-03-09 Common Stock 871710 871710 D The stock option vests as follows: 130,757 of the option shares shall vest and be exercisable on the one-year anniversary of the Reporting Person's first date of employment; 10,896 of the option shares shall vest and be exercisable on each one-month anniversary following the one-year anniversary for a period of 35 consecutive months; 10,909 of the option shares shall vest and be exercisable on the 36-month anniversary; and 348,684 option shares shall vest and be exercisable on March 9, 2025, subject to the Reporting Person's continued service with the Company through the applicable vesting dates. /s/ Michael C. Carroll, attorney-in-fact for David C. Dreyer 2015-03-19