SEC Form 4 · accession 0001140361-15-045042

BIOLASE, INC · BIOL

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Jack W Schuler

10% Owner

Period of report

Oct 1, 2015

Accepted (ET)

Dec 18, 2015 · 11:28 am EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000811240

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F2,F1	Oct 1, 2015	P	10,639	$0.93	A	2,614,805	I	By Trust
Common Stock^F2,F1	Oct 2, 2015	P	169,361	$0.89	A	2,784,166	I	By Trust
Common Stock^F2,F1	Oct 8, 2015	P	500	$0.90	A	2,784,666	I	By Trust
Common Stock^F2,F1	Oct 9, 2015	P	1,100,000	$0.95	A	3,884,666	I	By Trust
Common Stock^F2,F1	Oct 12, 2015	P	100,000	$1.03	A	3,984,666	I	By Trust
Common Stock^F2	Oct 12, 2015	P	14,800	$1.03	A	14,800	I	By spouse
Common Stock^F2,F1	Oct 13, 2015	P	100,000	$0.99	A	4,084,666	I	By Trust
Common Stock^F2,F1	Oct 14, 2015	P	13,418	$0.96	A	4,098,084	I	By Trust
Common Stock^F2,F1	Oct 15, 2015	P	2,970	$0.96	A	4,101,054	I	By Trust
Common Stock^F2,F1	Oct 16, 2015	P	1,000	$0.96	A	4,102,054	I	By Trust
Common Stock^F2,F1	Oct 19, 2015	P	25,510	$0.95	A	4,127,564	I	By Trust
Common Stock^F2,F1	Oct 20, 2015	P	52,103	$0.95	A	4,179,667	I	By Trust
Common Stock^F2,F1	Oct 22, 2015	P	541,355	$0.92	A	4,721,022	I	By Trust
Common Stock^F2,F1	Oct 23, 2015	P	48,250	$0.92	A	4,769,272	I	By Trust
Common Stock^F2,F1	Oct 26, 2015	P	23,500	$0.92	A	4,792,772	I	By Trust
Common Stock^F2,F1	Oct 27, 2015	P	9,900	$0.91	A	4,802,672	I	By Trust
Common Stock^F2,F1	Oct 28, 2015	P	5,671	$0.90	A	4,808,343	I	By Trust
Common Stock^F2,F1	Nov 5, 2015	P	505,974	$0.77	A	5,314,317	I	By Trust
Common Stock^F2,F1	Nov 6, 2015	P	140,000	$0.63	A	5,454,317	I	By Trust
Common Stock^F2,F1	Nov 11, 2015	P	33,099	$0.77	A	5,487,416	I	By Trust
Common Stock^F2,F1	Nov 12, 2015	P	234,313	$0.78	A	5,721,729	I	By Trust
Common Stock^F2,F1	Nov 13, 2015	P	93,409	$0.86	A	5,815,138	I	By Trust
Common Stock^F2,F1	Nov 16, 2015	P	5,400	$0.95	A	5,820,538	I	By Trust
Common Stock^F2,F1	Nov 17, 2015	P	200	$0.95	A	5,820,738	I	By Trust
Common Stock^F2,F1	Nov 23, 2015	P	64,865	$0.93	A	5,885,603	I	By Trust

Table II — derivative securities

No Table II lines on this filing.

Explanation of responses

F1These shares are held by the Jack W. Schuler Living Trust (the "Trust"). Mr. Schuler serves as sole trustee to the Trust.
F2The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices within a $1.00 range. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price for each transaction reported in this Form 4.