SEC Form 4/A · accession 0000899243-16-034305
BIOLASE, INC · BIOL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Harold C Flynn Jr.
Officer — President and CEO · Director
Period of report
Nov 8, 2016
Accepted (ET)
Nov 23, 2016 · 4:10 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000811240
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $1.45 | Nov 8, 2016 | A | 1,000,000 | A | — | Nov 8, 2026 | Common Stock | 1,000,000 | 2,307,903 | D |
| Restricted Stock UnitF2,F4 | — | Nov 8, 2016 | A | 0 | A | — | — | Common Stock | 0 | 652,500 | D |
Explanation of responses
- F1One-half of the stock options vest on the second anniversary of the grant date, and the remaining one-half vests ratably on a monthly basis over a two-year period commencing one month following the second anniversary of the grant date, subject to the Reporting Person's continued service with the Company through the applicable vesting dates.
- F2Each restricted stock unit represents the right to receive, at settlement, one share of common stock.
- F3On November 23, 2016, the Company and the Reporting Person entered into a letter agreement cancelling the November 8, 2016 restricted stock unit award representing the Reporting Person's right to acquire 1,000,000 shares of the Company's common stock because it was issued in excess of the limitations under the BIOLASE, Inc. 2002 Stock Incentive Plan, as amended.
- F4The restricted stock units vest based upon specific performance criteria, subject to the Reporting Person's continued service with the Company through the applicable vesting dates.