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Home > Insider Trading > Filing (0001209191-14-066758)

Filing Details

Accession Number:: 0001209191-14-066758
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2014-11-05 18:09:13
Reporting Period:: 2014-11-03

Filing Date:: 2014-11-05
Accepted Time:: 2014-11-05 18:09:13
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
1222248	N Paul Clark	C/O Biolase, Inc., 4 Cromwell Irvine CA 92618		Yes	No	No	No

Reported Non-Derivative Transactions

Show Other Fields >>

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	404,653	$2.39	1,010,607	No	4	P	Indirect	By Trust

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	By Trust

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Warrants (right to buy)	Acquisiton	2014-11-03	263,024	$0.13	263,024	$4.00

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
263,024	2015-05-07	2017-11-07	No	4	P	Indirect