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