0001209191-19-039537.txt : 20190628 0001209191-19-039537.hdr.sgml : 20190628 20190628175948 ACCESSION NUMBER: 0001209191-19-039537 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190606 FILED AS OF DATE: 20190628 DATE AS OF CHANGE: 20190628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dizon Romeo R CENTRAL INDEX KEY: 0001658282 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 19930710 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: 1228 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 doc4.xml FORM 4 SUBMISSION X0306 4 2019-06-06 0 0001006045 IRIDEX CORP IRIX 0001658282 Dizon Romeo R 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 0 0 0 1 Vice President - Finance Stock Option (right to buy) 5.04 2019-06-06 4 A 0 30000 0.00 A 2026-06-06 Common Stock 30000 30000 D This option granted pursuant to IRIDEX Corporation's 2008 Amended and Restated Equity Incentive Plan and is exempt pursuant to Rule16b-3. The shares are subject to vesting according to the following schedule: 1/48th of the total number of shares vest on July 6, 2019 and each month thereafter. /s/ Nilo De Castro, Attorney-in-Fact for Romeo Dizon 2019-06-28