0001209191-12-042046.txt : 20120815 0001209191-12-042046.hdr.sgml : 20120815 20120815193124 ACCESSION NUMBER: 0001209191-12-042046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120813 FILED AS OF DATE: 20120815 DATE AS OF CHANGE: 20120815 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arrow Alexander K. CENTRAL INDEX KEY: 0001497166 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19627 FILM NUMBER: 121038318 MAIL ADDRESS: STREET 1: PO BOX 3094 CITY: REDWOOD CITY STATE: CA ZIP: 94064 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 2012-08-13 0 0000811240 BIOLASE, INC BLTI 0001497166 Arrow Alexander K. C/O 4 CROMWELL IRVINE CA 92618 1 0 0 0 Common Stock 2012-08-13 4 P 0 1300 1.71 A 56875 D Common Stock 2012-08-13 4 P 0 1900 1.72 A 58775 D Common Stock 2012-08-13 4 P 0 4400 1.73 A 63175 D Common Stock 2012-08-13 4 P 0 300 1.74 A 63475 D Common Stock 2012-08-13 4 P 0 1600 1.75 A 65075 D Common Stock 2012-08-13 4 P 0 3200 1.76 A 68275 D Common Stock 2012-08-13 4 P 0 7500 1.77 A 75775 D Common Stock 2012-08-13 4 P 0 300 1.78 A 76075 D Common Stock 2012-08-13 4 P 0 9000 1.80 A 85075 D Common Stock 2012-08-13 4 P 0 7500 1.83 A 92575 D /s/ Michael C. Carroll, attorney-in-fact for Alexander K. Arrow 2012-08-15