Filing Details

Accession Number:
0001140361-16-053835
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-02-18 09:47:51
Reporting Period:
2016-02-16
Filing Date:
2016-02-18
Accepted Time:
2016-02-18 09:47:51
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
811240 Biolase Inc BIOL Dental Equipment & Supplies (3843) 870442441
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1021412 W Jack Schuler 100 North Field Drive
Suite 360
Lake Forest IL 60045
No No Yes No
1661351 Trust Living Schuler W. Jack 100 North Field Drive
Suite 360
Lake Forest IL 60045
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2016-02-16 3,200 $0.80 6,546,137 No 4 P Indirect By Trust
Common Stock Acquisiton 2016-02-17 900 $0.80 6,547,037 No 4 P Indirect By Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Trust
No 4 P Indirect By Trust
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 14,800 Indirect By spouse
Footnotes
  1. These shares are held by the Jack W. Schuler Living Trust (the "Trust"). Mr. Schuler serves as sole trustee to the Trust.
  2. This price reflects the weighted average purchase price for open-market purchases of shares of Common Stock ("Shares") made by the Reporting Persons on February 16, 2016, within a $1.00 range. The actual prices for these transactions range from $0.798 to $0.80, inclusive. The Reporting Persons further undertake to provide upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares purchased at each separate price within the ranges set forth in footnote (2) to this Form 4.