0001209191-11-028488.txt : 20110513 0001209191-11-028488.hdr.sgml : 20110513 20110513201411 ACCESSION NUMBER: 0001209191-11-028488 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110513 FILED AS OF DATE: 20110513 DATE AS OF CHANGE: 20110513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LICHTWARDT GREGORY CENTRAL INDEX KEY: 0001271162 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 11843071 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: 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: 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2011-05-13 0 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001271162 LICHTWARDT GREGORY C/O 4 CROMWELL IRVINE CA 92618 1 0 0 0 Common Stock 2011-05-13 4 P 0 2000 4.40 A 2000 D Michael C. Carroll, Attorney-in-Fact for Gregory E. Lichtwardt 2011-05-13