Filing Details

Accession Number:
0001140361-16-048297
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-01-21 10:08:40
Reporting Period:
2016-01-19
Filing Date:
2016-01-21
Accepted Time:
2016-01-21 10:08:40
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
1021412 W Jack Schuler 100 North Field Drive
Suite 360
Lake Forest IL 60045
No No Yes No
1661351 Trust Living Schuler W. Jack 100 North Field Drive
Suite 360
Lake Forest IL 60045
No No Yes 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 2016-01-19 4,300 $0.79 6,428,674 No 4 P Indirect By Trust
Common Stock Acquisiton 2016-01-20 19,900 $0.74 6,448,574 No 4 P Indirect By Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Trust
No 4 P Indirect By Trust
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 14,800 Indirect By spouse
Footnotes
  1. These shares are held by the Jack W. Schuler Living Trust (the "Trust"). Mr. Schuler serves as sole trustee to the Trust.
  2. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $0.7801 to $0.79, inclusive. 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 within the ranges set forth in footnotes (2) and (3) to this Form 4.
  3. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $0.7101 to $0.765, inclusive.