-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, T8mlTCdYuWzCtu/3d60WztIs9v3tI/yF1D41Sy7Q3KgsdeyCqdZfq/FlssdAXdij u2WiyV/2xX56HW2J0nLYKg== 0001179110-04-017586.txt : 20040903 0001179110-04-017586.hdr.sgml : 20040903 20040903130040 ACCESSION NUMBER: 0001179110-04-017586 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040902 FILED AS OF DATE: 20040903 DATE AS OF CHANGE: 20040903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MONTGOMERY R ERIC CENTRAL INDEX KEY: 0001257530 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11064 FILM NUMBER: 041016059 MAIL ADDRESS: STREET 1: 29 FAIRVIEW ROAD CITY: MONTEREY STATE: MA ZIP: 02145 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BRITESMILE INC CENTRAL INDEX KEY: 0000866734 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 870410364 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 490 NORTH WIGET LANE CITY: WALNUT CREEK STATE: CA ZIP: 94598 BUSINESS PHONE: 9259416260 MAIL ADDRESS: STREET 1: 490 NORTH WIGET LANE CITY: WALNUT CREEK STATE: CA ZIP: 94598 FORMER COMPANY: FORMER CONFORMED NAME: ION LASER TECHNOLOGY INC DATE OF NAME CHANGE: 19930328 4 1 edgar.xml FORM 4 - X0202 4 2004-09-02 0 0000866734 BRITESMILE INC BSML 0001257530 MONTGOMERY R ERIC 29 FAIRVIEW ROAD MONTEREY MA 01245 1 0 0 0 common stock 2004-09-02 4 S 0 5000 10.00 D 329236 D R. Eric Montgomery 2004-09-03 -----END PRIVACY-ENHANCED MESSAGE-----