SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
RESSLER RICHARD S

(Last) (First) (Middle)
C/O PRESBIA PLC,
120/121 BAGGOT STREET LOWER

(Street)
DUBLIN 2 L2

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/28/2015
3. Issuer Name and Ticker or Trading Symbol
Presbia PLC [ LENS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Ordinary Shares 9,166,667 I See footnote(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Option 01/28/2015(2) 01/28/2025 Ordinary Shares 10,000 $10 D
Explanation of Responses:
1. The 9,166,667 ordinary shares reported herein are held by Presbia Holdings, an exempted company incorporated with limited liability in the Cayman Islands. Reporting Person, directly and/or indirectly, possesses the sole power to vote and the sole power to direct the disposition of all securities of Presbia PLC held by Presbia Holdings. Reporting Person's interest in the securities reported herein is limited to the extent of his pecuniary interest in Presbia Holdings. Certain other directors and/or officers of Presbia PLC hold equity interests, directly and/or indirectly, in Presbia Holdings. These individuals file separate Section 16 reports.
2. Options were granted pursuant to and in accordance with the Presbia Incentive Plan. One third of the option vests on January 28, 2015, one third of the option vests on January 28, 2016, and one third of the option vests on January 28, 2017. None of the options are exercisable while the Reporting Person is an employee, officer or director of the Issuer, unless the Board of Directors of the Issuer, in its sole discretion, waives such restriction after determining that such exercise shall not trigger a Rule 9 mandatory takeover under the Irish Takeover Panel Act 1977 (as amended) and the related Irish takeover rules.
Remarks:
/s/ Richard Ressler 01/28/2015
** 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 5 (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.
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