0001209191-16-108308.txt : 20160314
0001209191-16-108308.hdr.sgml : 20160314
20160314205259
ACCESSION NUMBER: 0001209191-16-108308
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160310
FILED AS OF DATE: 20160314
DATE AS OF CHANGE: 20160314
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: 161505361
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
2016-03-10
0
0000811240
BIOLASE, INC
BIOL
0001203607
DREYER DAVID C
C/O 4 CROMWELL
IRVINE
CA
92618
0
1
0
0
SVP / Chief Financial Officer
Restricted Stock Unit
2016-03-10
4
A
0
70000
0.00
A
Common Stock
70000
70000
D
Each restricted stock unit represents the right to receive, at settlement, one share of common stock.
The restricted stock units shall fully vest on July 1, 2016, 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.
2016-03-14