Form 4 BIOLASE, INC For: Aug 08 Filed by: FEINBERG LARRY N
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person
*
(Street)
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2. Issuer Name
and
Ticker or Trading Symbol
BIOLASE, INC [ BIOL ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/08/2016 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check
Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants to acquire Common Stock | $ 2 | 08/08/2016 | P | 850,797 | (1) | 08/08/2021 | Common Stock | 850,797 | $ 0.125 | 2,194,983 | I | See Footnotes (1) (3) | |||
Series C Preferred Stock | $ 1.13 | 08/08/2016 | P | 37,091 | (2) | (2) | Common Stock | 3,709,100 | $ 1.13 | 37,091 | I | See Footnotes (2) (3) |
/s/ Larry N. Feinberg | 08/10/2016 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
Designated Filer: FEINBERG LARRY N
Issuer & Ticket Symbol: Biolase, Inc. [BIOL]
Date of Event Requiring Statement: August 8, 2016
Explanation of Responses:
(1)
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This figure represents warrants for 850,797 shares of the issuer’s common stock (“Common Stock”) acquired on August 8, 2016 (“New Warrants”), in addition to other existing warrants for 1,344,186 shares of Common Stock held by the Reporting Person. Only 50,776 of the New Warrants are currently exercisable due to restrictions on exercise that prevent the holder from exercising the New Warrants to the extent it and its affiliates would beneficially own more than 19.99% of the Common Stock; an additional 800,021 of the New Warrants will become exercisable upon stockholder approval.
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(2)
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The Series C Participating Convertible Preferred Stock (“Series C Preferred Stock”) is not currently convertible into Common Stock; however, each share of Series C Preferred Stock will automatically convert into 100 shares of Common Stock upon stockholder approval.
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(3)
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Oracle Partners, L.P. (“Partners”) owns New Warrants for 749,027 shares of Common Stock, plus other warrants for 336,047 shares of Common Stock, plus 32,566 shares of Series C Preferred Stock (to be automatically converted into shares of Common Stock upon stockholder approval) . Oracle Institutional Partners, L.P. (“Institutional Partners”) owns New Warrants for 101,770 shares of Common Stock, plus other warrants for 470,465 shares of Common Stock, plus 4,425 shares of Series C Preferred Stock (to be automatically converted into shares of Common Stock upon stockholder approval). In addition, Oracle Ten Fund Master, L.P. (“Ten Fund”) owns existing warrants to purchase 537,674 shares of Common Stock.
Larry N. Feinberg serves as the managing member of Oracle Associates, LLC, the general partner of Partners, Institutional Partners and Ten Fund, and accordingly, may be deemed to be the indirect beneficial owner of the shares beneficially owned by Partners, Institutional Partners and Ten Fund. Mr. Feinberg is the sole shareholder, director and president of Oracle Investment Management, Inc., which serves as investment manager to Ten Fund, and accordingly, may be deemed to be the beneficial owner of the shares beneficially owned by Ten Fund. Mr. Feinberg disclaims beneficial ownership of all such shares except to the extent of his pecuniary interest therein.
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Joint Filer Information and Signatures
Dated: August 10, 2016
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ORACLE PARTNERS, LP
By: ORACLE ASSOCIATES, LLC, its general partner
By: /s/ Larry N. Feinberg
Name: Larry N. Feinberg
Title: Managing Member
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Dated: August 10, 2016
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ORACLE ASSOCIATES, LLC
By: /s/ Larry N. Feinberg
Name: Larry N. Feinberg
Title: Managing Member
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Dated: August 10, 2016
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LARRY N. FEINBERG
/s/ Larry N. Feinberg
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