0001209191-15-037062.txt : 20150429
0001209191-15-037062.hdr.sgml : 20150429
20150429171520
ACCESSION NUMBER: 0001209191-15-037062
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150427
FILED AS OF DATE: 20150429
DATE AS OF CHANGE: 20150429
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: 15813943
MAIL ADDRESS:
STREET 1: 20202 WINDROW DR
CITY: LAKE FOREST
STATE: CA
ZIP: 92630
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-04-27
0
0000811240
BIOLASE, INC
BIOL
0001243895
TALEVICH JAMES R
4 CROMWELL
IRVINE
CA
92618
1
0
0
0
Stock Option (right to buy)
2.27
2015-04-27
4
A
0
138767
0.00
A
2025-04-27
Common Stock
138767
207695
D
The stock option vests and is exercisable in equal monthly installments over a consecutive 12-month period, commencing one month from the date of grant.
/s/ Michael C. Carroll, attorney-in-fact for James R. Talevich
2015-04-29