0001209191-18-045962.txt : 20180809
0001209191-18-045962.hdr.sgml : 20180809
20180809105457
ACCESSION NUMBER: 0001209191-18-045962
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180807
FILED AS OF DATE: 20180809
DATE AS OF CHANGE: 20180809
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: 181003954
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
2018-08-07
0
0000811240
BIOLASE, INC
BIOL
0001215999
BEAVER JOHN R
4 CROMWELL
IRVINE
CA
92618
0
1
0
0
EVP & Chief Financial Officer
Stock Option (right to buy)
1.20
2018-08-07
4
A
0
60000
0.00
A
2028-08-07
Common Stock
60000
760000
D
The stock option vests as to 30,000 shares, on August 7, 2019, and as to 30,000 shares, on August 7, 2020, subject to Mr. Beaver's continued service.
/s/ Michael C. Carroll, attorney-in-fact for John R. Beaver
2018-08-09