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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. )*
Biolase Technology, Inc.
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(Name of Issuer)
Common Stock, $.001 par value
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(Title of Class of Securities)
0-19627
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(CUSIP Number)
Check the following box if a fee is being paid with this / / statement. (A fee
is not required only if the filing person: (1) has a previous statement on file
reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
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CUSIP NO. 0-19627 13G PAGE 2 OF 4 PAGES
<TABLE>
<S> <C>
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1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Program One, Inc. d/b/a Perspective Advisory Group 06-1166053
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) / / (b) /x/
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
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NUMBER OF 5 SOLE VOTING POWER
SHARES 0
BENEFICIALLY ------------------------------------------------------------------------------------------
OWNED BY 6 SHARED VOTING POWER
EACH 0
REPORTING ------------------------------------------------------------------------------------------
PERSON 7 SOLE DISPOSITIVE POWER
WITH 0
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8 SHARED DISPOSITIVE POWER
1,266,250*
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,266,250*
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
10.3%
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12 TYPE OF REPORTING PERSON*
CO
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*Beneficial Ownership
expressly disclaimed
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</TABLE>
*SEE INSTRUCTION BEFORE FILLING OUT!
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Schedule 13G Program One, Inc.
ITEM 1. (a) The name of the Issuer is Biolase Technology, Inc.
(b) The address of the Issuer's principal executive offices is 981 Calle
Amanecer, San Clemente, California 92673.
ITEM 2. (a) The name of the person filing this Schedule 13G is Program One, Inc.
d/b/a Perspective Advisory Group.
(b) The address of the reporting person's principal business office is
17 Tripp Road, Woodstock, Connecticut 06281.
(c) The filing person is a Delaware corporation.
(d) The title of the class of securities for which this Schedule is
being filed is Common Stock, $.001 par value.
(e) The cusip number for the Issuer is 0-19627.
ITEM 3. The filing person is an Investment Adviser registered under section 203
of the Investment Advisers Act of 1940.
ITEM 4. OWNERSHIP. As of October 31, 1996, the reporting person may be deemed to
beneficially own the following shares of the Issuer's outstanding Common Stock,
$.001 par value. Beneficial ownership is, however, expressly disclaimed.
(a) The reporting person may be deemed to beneficially own 1,266,250
shares of the Issuer's Common Stock (the "Shares").
(b) The Shares represent approximately 10.3% of the Class.
(c) The Number of shares as to which the reporting person has (i) sole
power to vote or to direct the vote is 0; (ii) shared power to vote or to direct
the vote is 0; (iii) sole power to dispose or to direct the disposition of is 0;
and (iv) shared power to dispose or to direct the disposition of is 1, 266,250.
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. Not Applicable.
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. All of
the Shares reported hereunder are managed by the reporting person, a registered
investment advisor, on behalf of various clients and are held in trusts for the
benefit of the registered owners by third party trustees. Other than a shared
power to dispose of the Shares, the registered owners retain all other ownership
rights.
3
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ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE
SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not Applicable.
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not
Applicable.
ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not Applicable.
ITEM 10. CERTIFICATION. By signing below I certify that, to the best of my
knowledge and belief, the securities referred to above were acquired in the
ordinary course of business and were not acquired for the purpose of and do not
have the effect of changing or influencing the control of the issuer of such
securities and were not acquired in connection with or as a participant in any
transaction having such purposes or effect.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and correct.
November 13, 1996
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DATE
PROGRAM ONE, INC. D/B/A
PERSPECTIVE ADVISORY
GROUP
BY: /s/ Robert K. Mann
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TITLE: President
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