-----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, KhtHrg2D2MxIVbMx5J8MucWLDZRiPHba/1torRVI+FrFKMj8dQmBwTVdRDG/yqZ3 5qjJ2lNz1z9SEy1Z0bI+eQ== 0001261380-05-000031.txt : 20051005 0001261380-05-000031.hdr.sgml : 20051005 20051005193751 ACCESSION NUMBER: 0001261380-05-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051003 FILED AS OF DATE: 20051005 DATE AS OF CHANGE: 20051005 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAMMOND DONALD L CENTRAL INDEX KEY: 0001034458 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 051126075 BUSINESS ADDRESS: BUSINESS PHONE: 650-940-4700 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-10-03 0001006045 IRIDEX CORP IRIX 0001034458 HAMMOND DONALD L 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2005-10-03 4 A 0 11250 2.00 A 47500 D Stock Option Right to Buy 2.00 2005-10-03 4 M 0 11250 0 D 1996-09-30 2005-10-16 Common Stock 11250 0 D This option was granted pursuant to IRIDEX Corporation's incentive Director Option Plan and is exempt pursuant to Rule 16b-3. The shares vest as follows: 1/12th each quarter following the Vesting Commencement Date so that 100% is vested 3 years after date of grant. /s/ Donald L. Hammond 2005-10-05 -----END PRIVACY-ENHANCED MESSAGE-----