0001567619-19-020422.txt : 20191105 0001567619-19-020422.hdr.sgml : 20191105 20191105132626 ACCESSION NUMBER: 0001567619-19-020422 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191105 DATE AS OF CHANGE: 20191105 EFFECTIVENESS DATE: 20191105 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-352626 FILM NUMBER: 191192619 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 D 1 primary_doc.xml X0708 D LIVE 0000811240 BIOLASE, INC 4 CROMWELL IRVINE CA CALIFORNIA 92618 949-361-1200 DELAWARE Biolase Technology, Inc. Laser Medical Technology, Inc. Laser Endo Technic Corporation BIOLASE TECHNOLOGY INC LASER MEDICAL TECHNOLOGY INC LASER ENDO TECHNIC CORP Corporation true Todd A. Norbe 4 CROMWELL IRVINE CA CALIFORNIA 92618 Executive Officer Director John R. Beaver 4 CROMWELL IRVINE CA CALIFORNIA 92618 Executive Officer Richard B. Lanman, M.D. 4 CROMWELL IRVINE CA CALIFORNIA 92618 Director Jonathan T. Lord, M.D. 4 CROMWELL IRVINE CA CALIFORNIA 92618 Director Jess T. Roper 4 CROMWELL IRVINE CA CALIFORNIA 92618 Director Garrett T. Sato 4 CROMWELL IRVINE CA CALIFORNIA 92618 Director Elaine C. Wagner, D.D.S. 4 CROMWELL IRVINE CA CALIFORNIA 92618 Director Other Health Care Decline to Disclose 06b false 2019-10-24 false true false 0 3999987 3999987 0 false 4 0 0 0 false BIOLASE, INC /s/ Todd A. Norbe Todd A. Norbe President and Chief Executive Officer 2019-11-05