0001209191-17-058738.txt : 20171102
0001209191-17-058738.hdr.sgml : 20171102
20171102120028
ACCESSION NUMBER: 0001209191-17-058738
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171101
FILED AS OF DATE: 20171102
DATE AS OF CHANGE: 20171102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lanman Richard B.
CENTRAL INDEX KEY: 0001721003
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 171171354
MAIL ADDRESS:
STREET 1: C/O GUARDANT HEALTH, INC.
STREET 2: 556 VAN BUREN STREET
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
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: 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: 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
X0306
4
2017-11-01
0
0000811240
BIOLASE, INC
BIOL
0001721003
Lanman Richard B.
4 CROMWELL
IRVINE
CA
92618
1
0
0
0
Stock Option (right to buy)
0.76
2017-11-01
4
A
0
135333
0.00
A
2027-11-01
Common Stock
135333
135333
D
The stock option vests as follows: 7,053 option shares vest on November 10, 2017 with the remainder vesting in equal monthly installments over a consecutive 6-month period, commencing December 10, 2017.
/s/ Michael C. Carroll, attorney-in-fact for Richard B. Lanman
2017-11-02