0001209191-18-005729.txt : 20180126
0001209191-18-005729.hdr.sgml : 20180126
20180126185414
ACCESSION NUMBER: 0001209191-18-005729
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180125
FILED AS OF DATE: 20180126
DATE AS OF CHANGE: 20180126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BEAVER JOHN R
CENTRAL INDEX KEY: 0001215999
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 18553213
MAIL ADDRESS:
STREET 1: C/O STERLING CHEMICALS INC
STREET 2: 1200 SMITH STREET
CITY: HOUSTON
STATE: TX
ZIP: 77002
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
2018-01-25
0
0000811240
BIOLASE, INC
BIOL
0001215999
BEAVER JOHN R
4 CROMWELL
IRVINE
CA
92618
0
1
0
0
SVP & Chief Financial Officer
Stock Option (right to buy)
0.42
2018-01-25
4
A
0
100000
0.00
A
2028-01-25
Common Stock
100000
700000
D
The stock option vests pro rata monthly over a 36-month period, commencing on February 25, 2018, subject to Mr. Beaver's continued service.
/s/ Michael C. Carroll, attorney-in-fact for John R. Beaver
2018-01-26