-----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, Qe7fVHomIULmm+fR4AnRWtDUGDX82TiuC/65nAAvEeWjIASO/IfmhmBt5axBHeSx O/HQuApCkjryhlqWuZUM0A== 0001179110-05-013559.txt : 20050701 0001179110-05-013559.hdr.sgml : 20050701 20050701195944 ACCESSION NUMBER: 0001179110-05-013559 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050628 FILED AS OF DATE: 20050701 DATE AS OF CHANGE: 20050701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PETERS BRADFORD G CENTRAL INDEX KEY: 0001212863 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11064 FILM NUMBER: 05934479 MAIL ADDRESS: STREET 1: C/O BLACKFIN CAPITAL LLC STREET 2: 622 THIRD AVE 38TH FL CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BRITESMILE INC CENTRAL INDEX KEY: 0000866734 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 870410364 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 490 NORTH WIGET LANE CITY: WALNUT CREEK STATE: CA ZIP: 94598 BUSINESS PHONE: 9259416260 MAIL ADDRESS: STREET 1: 490 NORTH WIGET LANE CITY: WALNUT CREEK STATE: CA ZIP: 94598 FORMER COMPANY: FORMER CONFORMED NAME: ION LASER TECHNOLOGY INC DATE OF NAME CHANGE: 19930328 4 1 edgar.xml FORM 4 - X0202 4 2005-06-28 0 0000866734 BRITESMILE INC BSML 0001212863 PETERS BRADFORD G C/O BLACKFIN CAPITAL 622 THIRD AVENUE, 38TH FLOOR NEW YORK CITY NY 10017 1 0 0 0 Common Stock 2005-06-28 4 M 0 60342 2.4 A 244442 I by Titab, LLC Common Stock 424978 D Warrants to Purchase Common Stock 2.40 2005-06-28 4 M 0 60342 0 D 2000-08-03 2005-08-03 Common Stock 60342 0 I by Titab, LLC Warrant to Purchase Common Stock 30.00 Common Stock 6668 6668 D Option to Purchase Common Stock 15.00 2011-01-02 Common Stock 3655 3655 D Option to Purchase Common Stock 30.00 2011-12-31 Common Stock 3335 3335 D Option to Purchase Common Stock 1.98 2012-12-31 Common Stock 3335 3335 D Option to Purchase Common Stock 56.25 2009-11-26 Common Stock 3335 3335 D Option to Purchase Common Stock 10.86 2013-12-29 Common Stock 3500 3500 D Option to Purchase Common Stock 5.41 2015-02-04 Common Stock 15000 15000 D Fully Exersisable The Warrants to Purchase Common Stock expire in two tranches. The first, consisting of 3,333 shares, will expire on March 4, 2006, and the second, consisting of 3,335 shares, will expire on March 4, 2007. Bradford G. Peters 2005-07-01 -----END PRIVACY-ENHANCED MESSAGE-----