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