0001209191-19-045303.txt : 20190809 0001209191-19-045303.hdr.sgml : 20190809 20190809134210 ACCESSION NUMBER: 0001209191-19-045303 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190807 FILED AS OF DATE: 20190809 DATE AS OF CHANGE: 20190809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Norbe Todd CENTRAL INDEX KEY: 0001743526 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36385 FILM NUMBER: 191012416 MAIL ADDRESS: STREET 1: 7 RUNNING BROOK DRIVE CITY: TRABUCO CANYON STATE: CA ZIP: 92679 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 2019-08-07 0 0000811240 BIOLASE, INC BIOL 0001743526 Norbe Todd 4 CROMWELL IRVINE CA 92618 1 1 0 0 President and CEO Restricted Stock Unit 2019-08-07 4 A 0 100000 0.00 A Common Stock 100000 633333 D Each restricted stock unit represents the right to receive, at settlement, one share of common stock. The restricted stock unit award vests as follows: (i) one-half of the restricted stock units shall vest on the nine-month anniversary of date of grant, and (ii) one-half of the restricted stock units shall vest on the twenty-fourth month anniversary of the date of grant, subject to the Reporting Person's continued service with the Company. /s/ Michael C. Carroll, attorney-in-fact for Todd Norbe 2019-08-07