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