-----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, G9jl7WG+JaZjxs7252zDpKoabFABZVMcqKrqVKmwvlvHFq3XwLoO/JrCbRJINORE IJSqD65JmUSmeSCfIoXTdg== 0001358010-06-000021.txt : 20061016 0001358010-06-000021.hdr.sgml : 20061016 20061016191848 ACCESSION NUMBER: 0001358010-06-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061013 FILED AS OF DATE: 20061016 DATE AS OF CHANGE: 20061016 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: dArbeloff George V CENTRAL INDEX KEY: 0001295298 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 061147328 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 2006-10-13 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001295298 dArbeloff George V C/O BIOLASE TECHNOLOGY, INC. 4 CROMWELL IRVINE CA 92618 1 0 0 0 Common Stock 2006-10-13 4 M 0 8335 3.5625 D 46517 D Stock Option (right to buy) 3.5625 2006-10-13 4 M 0 8335 0 D 1997-12-12 2006-12-12 Common Stock 8335 0 D Richard L. Harrison, Attorney-in-Fact for George V. d'Arbeloff 2006-10-16 -----END PRIVACY-ENHANCED MESSAGE-----