0001209191-19-053967.txt : 20191024 0001209191-19-053967.hdr.sgml : 20191024 20191024195333 ACCESSION NUMBER: 0001209191-19-053967 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191022 FILED AS OF DATE: 20191024 DATE AS OF CHANGE: 20191024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bruce David CENTRAL INDEX KEY: 0001373121 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 191167165 MAIL ADDRESS: STREET 1: 1178 GLEN ROAD CITY: LAFAYETTE STATE: CA ZIP: 94549 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 2019-10-22 0 0001006045 IRIDEX CORP IRIX 0001373121 Bruce David 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 1 0 0 President and CEO Common Stock 2019-10-22 4 A 0 46667 0.00 A 52357 D Each share is represented by a restricted stock unit (RSU). Each RSU represents a contingent right to receive one share of the Issuer's Common Stock upon settlement. The RSUs vest as to one-third of the shares on July 1, 2020 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date. /s/ Nilo De Castro, Attorney-in-Fact for David Bruce 2019-10-24