Form Type: 4

SEC EDGAR Link
Accession Number:0001209191-21-040468
Date:2021-06-11
Issuer: BIOLASE, INC (BIOL)
Original Submission Date:

Reporting Person:

BEAVER JOHN R
27042 TOWNE CENTRE DRIVE
SUITE 270 FOOTHILL RANCH, CA 92610

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
RESTRICTED STOCK UNIT 0.0 2021-06-11 deemed execution date A 4,144,139 (a) common stock 4,144,139 $0.00 4,144,139 direct
Footnotes
IDfootnote
f1 at the option of the company, each restricted stock unit represents the right to receive, at settlement, one share of common stock, or its cash equivalent.
f2 the restricted stock unit award fully vests and is immediately exercisable upon the filing with the sec of the annual report on form 10-k for the year ending december 31, 2023, subject to performance-based vesting criteria as established by the compensation committee; provided that if the price of common stock on such vesting date is greater than $1.40 per share, one-half of the award amount above $1.40 shall be payable on the first anniversary of the vesting date, and one-half of such amount shall be payable on the second anniversary of the vesting date.
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