Filing Details

Accession Number:
0001209191-11-045233
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-08-22 17:23:30
Reporting Period:
2011-08-18
Filing Date:
2011-08-22
Accepted Time:
2011-08-22 17:23:30
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
811240 Biolase Technology Inc BLTI Dental Equipment & Supplies (3843) 870442441
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1497166 K. Alexander Arrow C/O 4 Cromwell
Irvine CA 92618
Yes No No 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 2011-08-18 5,000 $2.84 48,775 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Footnotes
  1. Includes 275 shares which were received from Biolase Technology, Inc. as stock dividends, consisting of 30 shares received on March 31, 2011 and 245 shares received on June 30, 2011.