0001209191-18-029965.txt : 20180514 0001209191-18-029965.hdr.sgml : 20180514 20180514175026 ACCESSION NUMBER: 0001209191-18-029965 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180514 FILED AS OF DATE: 20180514 DATE AS OF CHANGE: 20180514 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: 18832196 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 2018-05-14 0 0000811240 BIOLASE, INC BIOL 0001215999 BEAVER JOHN R 4 CROMWELL IRVINE CA 92618 0 1 0 0 SVP & Chief Financial Officer Restricted Stock Units 2018-05-14 4 A 0 97911 0.00 A Common Stock 97911 97911 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) two-fifths of the restricted stock units vest on December 31, 2018, and (ii) three-fifths of the restricted stock units vest on December 31, 2019. /s/ Michael C. Carroll, attorney-in-fact for John R. Beaver 2018-05-14