0001209191-20-036227.txt : 20200612 0001209191-20-036227.hdr.sgml : 20200612 20200612151411 ACCESSION NUMBER: 0001209191-20-036227 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200612 DATE AS OF CHANGE: 20200612 EFFECTIVENESS DATE: 20200612 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-368857 FILM NUMBER: 20960004 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 D 1 primary_doc.xml X0708 D LIVE 0000811240 BIOLASE, INC 4 CROMWELL Irvine CA CALIFORNIA 92618 949-361-1200 DELAWARE None BIOLASE TECHNOLOGY INC LASER MEDICAL TECHNOLOGY INC LASER ENDO TECHNIC CORP Corporation true Todd A. Norbe 4 CROMWELL Irvine CA CALIFORNIA 92618 Executive Officer Director John R. Beaver 4 CROMWELL Irvine CA CALIFORNIA 92618 Executive Officer Richard B. Lanman 4 CROMWELL Irvine CA CALIFORNIA 92618 Director Jonathan T. Lord 4 CROMWELL Irvine CA CALIFORNIA 92618 Director Jess Roper 4 CROMWELL Irvine CA CALIFORNIA 92618 Director Garrett Sato 4 CROMWELL Irvine CA CALIFORNIA 92618 Director Elaine C. Wagner 4 CROMWELL Irvine CA CALIFORNIA 92618 Director Michael C. DiTolla 4 CROMWELL Irvine CA CALIFORNIA 92618 Director Other Health Care Decline to Disclose 06b false 2020-06-08 false true true true false 0 Maxim Group LLC 120708 The Benchmark Company LLC 22982 405 Lexington Avenue New York NY NEW YORK 10174 CA CALIFORNIA IL ILLINOIS KY KENTUCKY NY NEW YORK Colliers Securities LLC 7477 None None 90 South Seventh Street Suite 4300 Minneapolis MN MINNESOTA 55402 CA CALIFORNIA IL ILLINOIS KY KENTUCKY NY NEW YORK 6912000 6912000 0 Combined purchase price of 10,800,000 shares of common stock (CS) in a registered direct offering & warrants in private placement to purchase 10,800,000 shares of CS with an exercise price of $0.515 per share. false 9 483840 0 0 false BIOLASE, INC /s/ John R. Beaver John R. Beaver Chief Financial Officer 2020-06-12