Home/Filings/4/0000899243-16-026248
4//SEC Filing

BIOLASE, INC 4

Accession 0000899243-16-026248

CIK 0000811240operating

Filed

Aug 2, 8:00 PM ET

Accepted

Aug 3, 9:39 PM ET

Size

9.6 KB

Accession

0000899243-16-026248

Insider Transaction Report

Form 4
Period: 2016-08-01
Flynn Harold C Jr.
DirectorPresident and CEO
Transactions
  • Purchase

    Warrants (right to buy)

    2016-08-01$0.13/sh+8,142$1,0188,142 total(indirect: By Trust)
    Exercise: $2.00From: 2017-02-08Exp: 2021-08-08Common Stock (8,142 underlying)
  • Purchase

    Series C Participating Convertible Preferred Stock

    2016-08-01$113.00/sh+354$40,002354 total(indirect: By Trust)
    Common Stock (35,400 underlying)
Footnotes (4)
  • [F1]These shares of Series C Participating Convertible Preferred Stock ("Preferred Stock") and Warrants were acquired by the Flynn Living Trust (the "Trust") in a private placement with the Issuer that is expected to close on August 8, 2016 (the "Closing").
  • [F2]Each share of Preferred Stock will initially be convertible into 100 shares of Common Stock ("Shares"), reflecting a conversion price equal to $1.13 per Share. The conversion of the Preferred Stock will occur automatically upon the Requisite Stockholder Approval (defined and described further in the Securities Purchase Agreement dated August 1, 2016 and filed as Exhibit 99.1 to the Current Report on Form 8-K filed by the Issuer on August 2, 2016), which is expected to occur after the Closing. The Preferred Stock has no expiration date.
  • [F3]The Preferred Stock and Warrants are held directly by the Trust. Mr. Flynn serves as a co-trustee to the Trust and his daughter is the beneficiary of the Trust.
  • [F4]The Reporting Person disclaims beneficial ownership of the Preferred Stock and Warrants except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the Preferred Stock or Warrants for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.

Issuer

BIOLASE, INC

CIK 0000811240

Entity typeoperating
IncorporatedDE

Related Parties

1
  • filerCIK 0000811240

Filing Metadata

Form type
4
Filed
Aug 2, 8:00 PM ET
Accepted
Aug 3, 9:39 PM ET
Size
9.6 KB