Filing Details

Accession Number:
0001209191-14-066755
Form Type:
4
Zero Holdings:
No
Publication Time:
2014-11-05 18:05:02
Reporting Period:
2014-11-03
Filing Date:
2014-11-05
Accepted Time:
2014-11-05 18:05:02
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
1112980 Md T Jonathan Lord C/O Biolase, Inc., 4 Cromwell
Irvine CA 92618
Yes No No 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 2014-11-03 101,163 $2.39 101,163 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants (right to buy) Acquisiton 2014-11-03 65,755 $0.13 65,755 $4.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
65,755 2015-05-07 2017-11-07 No 4 P Direct