0001209191-17-008727.txt : 20170208
0001209191-17-008727.hdr.sgml : 20170208
20170208170343
ACCESSION NUMBER: 0001209191-17-008727
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170206
FILED AS OF DATE: 20170208
DATE AS OF CHANGE: 20170208
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: 17583315
MAIL ADDRESS:
STREET 1: 4 CROMWELL
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-02-06
0
0000811240
BIOLASE, INC
BIOL
0001647860
Flynn Harold C Jr.
C/O 4 CROMWELL
IRVINE
CA
92618
1
1
0
0
President and CEO
Restricted Stock Unit
2017-02-06
4
A
0
1000000
0.00
A
Common Stock
1000000
1464761
D
Each restricted stock unit represents the right to receive, at settlement, one share of common stock.
The restricted stock units vest as follows: (i) one-quarter of the restricted stock units vest on the two-year anniversary of the award date, (ii) one-eighth of the restricted stock units vest on the three-year anniversary of the award date, (iii) one-eighth of the restricted stock units vest on the fourth-year anniversary of the award date, and (iv) one-half of 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.
2017-02-08