0001209191-19-047466.txt : 20190827 0001209191-19-047466.hdr.sgml : 20190827 20190827143353 ACCESSION NUMBER: 0001209191-19-047466 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190823 FILED AS OF DATE: 20190827 DATE AS OF CHANGE: 20190827 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: 191056831 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 2019-08-23 0 0000811240 BIOLASE, INC BIOL 0001743526 Norbe Todd 4 CROMWELL IRVINE CA 92618 1 1 0 0 President and CEO Common Stock 2019-08-23 4 F 0 2687 1.20 D 109340 D Common Stock 2019-08-23 4 F 0 216 1.22 D 109124 D /s/ Michael C. Carroll attorney-in-fact for Todd Norbe 2019-08-27