0001209191-17-060091.txt : 20171109 0001209191-17-060091.hdr.sgml : 20171109 20171109192433 ACCESSION NUMBER: 0001209191-17-060091 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171108 FILED AS OF DATE: 20171109 DATE AS OF CHANGE: 20171109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TALEVICH JAMES R CENTRAL INDEX KEY: 0001243895 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36385 FILM NUMBER: 171192432 MAIL ADDRESS: STREET 1: 20202 WINDROW DR CITY: LAKE FOREST STATE: CA ZIP: 92630 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-08 0 0000811240 BIOLASE, INC BIOL 0001243895 TALEVICH JAMES R 4 CROMWELL IRVINE CA 92618 1 0 0 0 Stock Option (right to buy) 0.57 2017-11-08 4 A 0 9868 0.00 A 2027-11-08 Common Stock 9868 454638 D The stock option vests and is exercisable in equal monthly installments over a consecutive 6-month period, commencing December 10, 2017. /s/ Michael C. Carroll, attorney-in-fact for James R. Talevich 2017-11-09