0001209191-22-045627.txt : 20220812
0001209191-22-045627.hdr.sgml : 20220812
20220812165100
ACCESSION NUMBER: 0001209191-22-045627
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220810
FILED AS OF DATE: 20220812
DATE AS OF CHANGE: 20220812
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bright Jennifer
CENTRAL INDEX KEY: 0001937848
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36385
FILM NUMBER: 221160904
MAIL ADDRESS:
STREET 1: 27042 TOWNE CENTRE DRIVE,
STREET 2: SUITE 270
CITY: FOOTHILL RANCH
STATE: CA
ZIP: 92610
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: 27042 TOWNE CENTRE DRIVE
STREET 2: SUITE 270
CITY: FOOTHILL RANCH
STATE: CA
ZIP: 92610
BUSINESS PHONE: 949-361-1200
MAIL ADDRESS:
STREET 1: 27042 TOWNE CENTRE DRIVE
STREET 2: SUITE 270
CITY: FOOTHILL RANCH
STATE: CA
ZIP: 92610
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
2022-08-10
0
0000811240
BIOLASE, INC
BIOL
0001937848
Bright Jennifer
27042 TOWNE CENTRE DRIVE
SUITE 270
FOOTHILL RANCH
CA
92610
0
1
0
0
Chief Financial Officer
Restricted Stock Unit
2022-08-10
4
A
0
10000
0.00
A
Common Stock
10000
25900
D
Restricted Stock Unit
2022-08-10
4
A
0
6663
0.00
A
Common Stock
6663
32563
D
At the option of the Company, each restricted stock unit represents the right to receive, at settlement, one share of common stock, or its cash equivalent.
The restricted stock unit award vests as follows: (i) one-half of the restricted stock units shall vest on the twelve-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.
The restricted stock unit award vests on August 14, 2022, subject to the Reporting Person's continued service with the Company.
/s/ Michael C. Carroll, attorney-in-fact for Jennifer Bright
2022-08-12