-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, U1peL7poA1eLmKsTfcnZj8k2Brwqud3lrA9tbPfZvKvTeQn1YFaClGazkn5x+mr6 Roe6JOAZwm7YBqNY4XduWw== 0001358010-06-000016.txt : 20060516 0001358010-06-000016.hdr.sgml : 20060516 20060516135244 ACCESSION NUMBER: 0001358010-06-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060515 FILED AS OF DATE: 20060516 DATE AS OF CHANGE: 20060516 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BIOLASE TECHNOLOGY 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: 981 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 7143611200 MAIL ADDRESS: STREET 1: 981 CALLE AMANECER CITY: SAN CLEMENTE STATE: CA ZIP: 92673 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 FORMER COMPANY: FORMER CONFORMED NAME: PAMPLONA CAPITAL CORP DATE OF NAME CHANGE: 19911104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DURRIE DANIEL S CENTRAL INDEX KEY: 0001358010 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 06845150 BUSINESS ADDRESS: BUSINESS PHONE: 949 361-1200 MAIL ADDRESS: STREET 1: C/O BIOLASE TECHNOLOGY INC STREET 2: 4 CROMWELL CITY: IRVINE STATE: CA ZIP: 92618 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2006-05-15 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001358010 DURRIE DANIEL S C/O BIOLASE TECHNOLOGY INC 4 CROMWELL IRVINE CA 92618 1 0 0 0 Common Stock 2006-05-15 4 P 0 12500 7.875 A 12500 D /s/ Richard L. Harrison, Attorney-in-Fact 2006-05-16 -----END PRIVACY-ENHANCED MESSAGE-----