0001209191-19-045300.txt : 20190809 0001209191-19-045300.hdr.sgml : 20190809 20190809133330 ACCESSION NUMBER: 0001209191-19-045300 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190807 FILED AS OF DATE: 20190809 DATE AS OF CHANGE: 20190809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEAVER JOHN R CENTRAL INDEX KEY: 0001215999 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36385 FILM NUMBER: 191012384 MAIL ADDRESS: STREET 1: C/O STERLING CHEMICALS INC STREET 2: 1200 SMITH STREET CITY: HOUSTON STATE: TX ZIP: 77002 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 2019-08-07 0 0000811240 BIOLASE, INC BIOL 0001215999 BEAVER JOHN R 4 CROMWELL IRVINE CA 92618 0 1 0 0 EVP & Chief Financial Officer Restricted Stock Unit 2019-08-07 4 A 0 70000 0.00 A Common Stock 70000 128267 D Each restricted stock unit represents the right to receive, at settlement, one share of common stock. The restricted stock unit award vests as follows: (i) one-half of the restricted stock units shall vest on the nine-month anniversary of date of grant, and (ii) one-half of the restricted stock units shall vest on the twenty-fourth month anniversary of the date of grant, subject to the Reporting Person's continued service with the Company. /s/ Michael C. Carroll, attorney-in-fact for John R. Beaver 2019-08-07