-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BU0OCFgLtszIWD7f+IR/4B0uCzQwoAjk0I6+e3akyEoyp4I/xP+qTb4SjsDTb1MK XRiEHbSeKwMq2kCifenmxQ== 0001181431-05-061724.txt : 20051116 0001181431-05-061724.hdr.sgml : 20051116 20051116151422 ACCESSION NUMBER: 0001181431-05-061724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051115 FILED AS OF DATE: 20051116 DATE AS OF CHANGE: 20051116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOUTACOFF THEODORE A CENTRAL INDEX KEY: 0001235950 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 051209667 BUSINESS ADDRESS: BUSINESS PHONE: 6509404700 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IRIDEX CORP CENTRAL INDEX KEY: 0001006045 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 770210467 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 1212 TERRA BELLA AVE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6509404700 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 rrd97350.xml FORM 4 X0202 4 2005-11-15 0 0001006045 IRIDEX CORP IRIX 0001235950 BOUTACOFF THEODORE A 1212 TERRA BELLA DRIVE MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2005-11-15 4 S 0 6000 7.0767 D 192945 D Theodore Boutacoff 2005-11-15 -----END PRIVACY-ENHANCED MESSAGE-----