0001209191-23-059318.txt : 20231220
0001209191-23-059318.hdr.sgml : 20231220
20231220141322
ACCESSION NUMBER: 0001209191-23-059318
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20231220
DATE AS OF CHANGE: 20231220
EFFECTIVENESS DATE: 20231220
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: BIOLASE, INC
CENTRAL INDEX KEY: 0000811240
STANDARD INDUSTRIAL CLASSIFICATION: DENTAL EQUIPMENT & SUPPLIES [3843]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 870442441
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-500273
FILM NUMBER: 231500983
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
D
1
primary_doc.xml
X0708
D
LIVE
0000811240
BIOLASE, INC
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
(949) 361-1200
DELAWARE
Laser Medical Technology, Inc.
Biolase Technology, Inc.
BIOLASE TECHNOLOGY INC
LASER MEDICAL TECHNOLOGY INC
LASER ENDO TECHNIC CORP
Corporation
true
John
R.
Beaver
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Executive Officer
Director
Jennifer
Bright
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Executive Officer
Jonathan
Lord
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Director
Kathleen
T.
O'Loughlin
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Director
Jess
Roper
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Director
Martha
Somerman
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Director
Carol
Gomez
Summerhays
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Director
Kenneth
P.
Yale
27042 Town Centre Drive
Suite 270
Lake Forest
CA
CALIFORNIA
92610
Director
Other Health Care
Decline to Disclose
- 06b
false
2023-12-06
false
true
true
true
true
Common Warrants and Shares of Common Stock Underlying the Common Warrants
false
0
Maxim Group LLC
120708
None
None
300 Park Avenue
16th Floor
New York
NY
NEW YORK
10022
true
2732914
2732914
0
The Issuer issued securities in a registered direct offering for gross proceeds of approximately $1.36 million and in a concurrent private placement issued warrants to purchase an aggregate of 2,221,880 shares of common stock
false
1
96000
true
0
0
While no offering proceeds are set aside for payments to the named officers or directors, it is possible that some proceeds to be used as working capital will be used indirectly for paying salaries to employees including executive officers.
false
BIOLASE, INC
/s/ John R. Beaver
John R. Beaver
Chief Executive Officer
2023-12-20