0001209191-21-044989.txt : 20210702
0001209191-21-044989.hdr.sgml : 20210702
20210702163959
ACCESSION NUMBER: 0001209191-21-044989
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210630
FILED AS OF DATE: 20210702
DATE AS OF CHANGE: 20210702
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: 211070798
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: 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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-30
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
2021-06-30
4
F
0
3227
7.06
D
71752
D
Common Stock
2021-07-01
4
F
0
5378
7.08
D
66374
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 David Bruce
2021-07-02