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