-----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, SgLn5POHV/RH01p2UQDO4sLsFHWlhhGXbzgNQ4/xald366J5puFsmO+GgBC2hsnV BMl0yr3pyn5CcdU0Je1f+g== 0001019687-05-003404.txt : 20051214 0001019687-05-003404.hdr.sgml : 20051214 20051214084727 ACCESSION NUMBER: 0001019687-05-003404 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051212 FILED AS OF DATE: 20051214 DATE AS OF CHANGE: 20051214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HARRISON RICHARD L CENTRAL INDEX KEY: 0001186724 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 051262571 BUSINESS ADDRESS: STREET 1: 181 TECHNOLOGY DRIVE CITY: IRVINE STATE: CA ZIP: 92618 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 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-12-12 0000811240 BIOLASE TECHNOLOGY INC BLTI 0001186724 HARRISON RICHARD L 981 CALLE AMANECER SAN CLEMENTE CA 92673 0 1 0 0 Executive V. P., CFO, & Sec. Employee Stock Option (right to buy) 7.20 2005-12-12 4 A 0 250000 0 A 2015-12-11 Common Stock 250000 250000 D The option vests over a period of three years, with one-third of the option shares vesting on the first anniversary of the date of grant, and the remaining two-thirds of the option shares vesting on a quarterly basis over the remaining two years. /s/ Richard L. Harrison 2005-12-13 -----END PRIVACY-ENHANCED MESSAGE-----