-----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, C9YrzlxCz9DDRP6aG0EOA3slZXufAb5H5zy7RdnwsPg+/wpPApnL1HUwL1LWltj4 2XOVfJRvfGOaP/VOHj4/lQ== 0001261380-05-000025.txt : 20050816 0001261380-05-000025.hdr.sgml : 20050816 20050816125215 ACCESSION NUMBER: 0001261380-05-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050815 FILED AS OF DATE: 20050816 DATE AS OF CHANGE: 20050816 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: 051029920 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 edgar.xml PRIMARY DOCUMENT X0202 4 2005-08-15 0001006045 IRIDEX CORP IRIX 0001235950 BOUTACOFF THEODORE A 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2005-08-15 4 S 0 6000 7.35 D 198945 D /s/ Susan Bruce, Attorney in Fact for Theodore A. Boutacoff 2005-08-16 -----END PRIVACY-ENHANCED MESSAGE-----