0001209191-16-130775.txt : 20160705
0001209191-16-130775.hdr.sgml : 20160705
20160705144104
ACCESSION NUMBER: 0001209191-16-130775
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160701
FILED AS OF DATE: 20160705
DATE AS OF CHANGE: 20160705
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: 161750000
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
2016-07-01
0
0000811240
BIOLASE, INC
BIOL
0001203607
DREYER DAVID C
C/O 4 CROMWELL
IRVINE
CA
92618
0
1
0
0
SVP / Chief Financial Officer
Common Stock
2016-07-01
4
M
0
70000
A
123000
D
Restricted Stock Units
2016-07-01
4
M
0
70000
0.00
D
Common Stock
70000
0
D
Restricted stock units covert into common stock on a one-for-one basis.
On March 10, 2016, the reporting person was granted 70,000 restricted stock units, all of which vested on July 1, 2016.
/s/ Michael Carroll, attorney-in-fact for David C. Dreyer.
2016-07-05