0001209191-23-034891.txt : 20230606
0001209191-23-034891.hdr.sgml : 20230606
20230606202859
ACCESSION NUMBER: 0001209191-23-034891
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230602
FILED AS OF DATE: 20230606
DATE AS OF CHANGE: 20230606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BEAVER JOHN R
CENTRAL INDEX KEY: 0001215999
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 23997459
MAIL ADDRESS:
STREET 1: C/O STERLING CHEMICALS INC
STREET 2: 1200 SMITH STREET
CITY: HOUSTON
STATE: TX
ZIP: 77002
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: 27042 TOWNE CENTRE DRIVE
STREET 2: SUITE 270
CITY: FOOTHILL RANCH
STATE: CA
ZIP: 92610
BUSINESS PHONE: 949-361-1200
MAIL ADDRESS:
STREET 1: 27042 TOWNE CENTRE DRIVE
STREET 2: SUITE 270
CITY: FOOTHILL RANCH
STATE: CA
ZIP: 92610
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
X0407
4
2023-06-02
0
0000811240
BIOLASE, INC
BIOL
0001215999
BEAVER JOHN R
27042 TOWNE CENTRE DRIVE
SUITE 270
FOOTHILL RANCH
CA
92610
1
1
0
0
President & CEO
0
Restricted Stock Unit
2023-06-02
4
A
0
486255
0.00
A
Common Stock
486255
688162
D
At the option of the Company, each restricted stock unit represents the right to receive, at settlement, one share of common stock, or its cash equivalent.
The restricted stock unit award vests immediately.
/s/ Michael C. Carroll, attorney-in-fact for John R. Beaver
2023-06-06