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