0001209191-19-057805.txt : 20191122
0001209191-19-057805.hdr.sgml : 20191122
20191122163632
ACCESSION NUMBER: 0001209191-19-057805
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191114
FILED AS OF DATE: 20191122
DATE AS OF CHANGE: 20191122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DiTolla Michael
CENTRAL INDEX KEY: 0001794696
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 191242128
MAIL ADDRESS:
STREET 1: 3299 CAMBRIDGE AVE
CITY: BRONX
STATE: NY
ZIP: 10463
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
2019-11-14
0
0000811240
BIOLASE, INC
BIOL
0001794696
DiTolla Michael
4 CROMWELL
IRVINE
CA
92618
1
0
0
0
Restricted Stock Unit
2019-11-14
4
A
0
98738
0.00
A
Common Stock
98738
98738
D
Each restricted stock unit represents the right to receive, at settlement, one share of common stock.
The restricted stock unit award fully vests on May 15, 2020.
/s/ Michael C. Carroll, attorney-in-fact for Michael DiTolla
2019-11-22