SEC Form 4 · accession 0001140361-16-087070
BIOLASE, INC · BIOL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Nov 15, 2016
Accepted (ET)
Nov 17, 2016 · 3:37 pm 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 StockF1,F2 | Nov 15, 2016 | C | 18,514 | $1.72 | A | 14,478,326 | I | See footnote |
| Common StockF3,F4 | Nov 16, 2016 | C | 33,674 | $1.71 | A | 14,508,464 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1See Exhibit 99.1
- F2See Exhibit 99.1
- F3See Exhibit 99.1
- F4See Exhibit 99.1
Remarks
* On his own behalf or on behalf of the other joint filers. Exhibit List: Exhibit 99.1 - Explanation of Responses Exhibit 99.2 - Joint Filer Information and Signatures