0001209191-19-043457.txt : 20190729
0001209191-19-043457.hdr.sgml : 20190729
20190729144126
ACCESSION NUMBER: 0001209191-19-043457
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190727
FILED AS OF DATE: 20190729
DATE AS OF CHANGE: 20190729
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: 19980679
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
2019-07-27
0
0001006045
IRIDEX CORP
IRIX
0001658282
Dizon Romeo R
1212 TERRA BELLA AVENUE
MOUNTAIN VIEW
CA
94043
0
0
0
1
Vice President - Finance
Common Stock
2019-07-27
4
F
0
1152
3.57
D
26263
D
These shares have been withheld in an exempt disposition to the Issuer under Rule 16b-3(e), to satisfy the Issuer's income tax withholding and remittance obligations in connection with the net settlement of restricted stock units and does not represent a sale by the Reporting Person.
/s/ Nilo De Castro, Attorney-in-Fact for Romeo Dizon
2019-07-29