0001209191-15-061728.txt : 20150720
0001209191-15-061728.hdr.sgml : 20150720
20150720174313
ACCESSION NUMBER: 0001209191-15-061728
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150713
FILED AS OF DATE: 20150720
DATE AS OF CHANGE: 20150720
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: Flynn Harold C Jr.
CENTRAL INDEX KEY: 0001647860
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 15996570
MAIL ADDRESS:
STREET 1: 4 CROMWELL
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-07-13
0
0000811240
BIOLASE, INC
BIOL
0001647860
Flynn Harold C Jr.
C/O 4 CROMWELL
IRVINE
CA
92618
1
1
0
0
President and CEO
Stock Option (right to buy)
1.65
2015-07-13
4
A
0
870000
0.00
A
2025-07-13
Common Stock
870000
870000
D
Restricted Stock Unit
2015-07-13
4
A
0
870000
0.00
A
Common Stock
870000
870000
D
One-fourth of the stock options vest on the one-year anniversary of grant, and the remaining three-fourths vest ratably on a monthly basis over a three-year period, subject to the Reporting Person's continued service with the Company through the applicable vesting dates.
Each restricted stock unit represents the right to receive, at settlement, one share of common stock.
The restricted stock units vest based upon specific performance criteria, subject to the Reporting Person's continued service with the Company through the applicable vesting dates.
/s/ Michael C. Carroll, attorney-in-fact for Harold C. Flynn, Jr.
2015-07-20