0001209191-15-079776.txt : 20151112 0001209191-15-079776.hdr.sgml : 20151112 20151112172755 ACCESSION NUMBER: 0001209191-15-079776 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151109 FILED AS OF DATE: 20151112 DATE AS OF CHANGE: 20151112 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: 151226034 MAIL ADDRESS: STREET 1: 4 CROMWELL CITY: IRVINE STATE: CA ZIP: 92618 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-11-09 0 0000811240 BIOLASE, INC BIOL 0001647860 Flynn Harold C Jr. C/O 4 CROMWELL IRVINE CA 92618 1 1 0 0 President and CEO Common Stock, par value $0.001 per share 2015-11-09 4 P 0 10000 0.72 A 10000 D Common Stock, par value $0.001 per share 2015-11-09 4 P 0 12567 0.77 A 22567 D Common Stock, par value $0.001 per share 2015-11-09 4 P 0 5333 0.78 A 27900 D Common Stock, par value $0.001 per share 2015-11-09 4 P 0 22100 0.80 A 50000 D /s/ Michael C. Carroll, attorney-in-fact for Harold C. Flynn, Jr. 2015-11-11