0001209191-23-034899.txt : 20230606 0001209191-23-034899.hdr.sgml : 20230606 20230606203720 ACCESSION NUMBER: 0001209191-23-034899 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: Sandor Steven CENTRAL INDEX KEY: 0001937777 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36385 FILM NUMBER: 23997470 MAIL ADDRESS: STREET 1: 27042 TOWNE CENTRE DRIVE, STREET 2: SUITE 270 CITY: FOOTHILL RANCH STATE: CA ZIP: 92610 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 0001937777 Sandor Steven 27042 TOWNE CENTRE DRIVE SUITE 270 FOOTHILL RANCH CA 92610 0 1 0 0 Chief Operating Officer 0 Restricted Stock Unit 2023-06-02 4 A 0 58000 0.00 A Common Stock 58000 87265 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 as follows: (i) one-half of the restricted stock units shall vest on May 9, 2024, and (ii) one-half of the restricted stock units shall vest on May 9, 2025, subject to the Reporting Person's continued service with the Company. /s/ Michael C. Carroll, attorney-in-fact for Steven Sandor 2023-06-06