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