0001209191-20-045871.txt : 20200810 0001209191-20-045871.hdr.sgml : 20200810 20200810094858 ACCESSION NUMBER: 0001209191-20-045871 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200806 FILED AS OF DATE: 20200810 DATE AS OF CHANGE: 20200810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wagner Elaine C CENTRAL INDEX KEY: 0001755150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36385 FILM NUMBER: 201087582 MAIL ADDRESS: STREET 1: 7621 HUNTMASTER LANE CITY: MCLEAN STATE: VA ZIP: 22102 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 2020-08-06 0 0000811240 BIOLASE, INC BIOL 0001755150 Wagner Elaine C 4 CROMWELL IRVINE CA 92618 1 0 0 0 Restricted Stock Unit 2020-08-06 4 A 0 20000 0.00 A Common Stock 20000 245856 D Each restricted stock unit represents the right to receive, at settlement, one share of common stock. The restricted stock unit award fully vests and is immediately exercisable on the first anniversary of the date of the award, subject to the Reporting Person's continued service. /s/ Michael C. Carroll, attorney-in-fact for Elaine C. Wagner 2020-08-10