-----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, JgG5WBauAWBNg+K5seTKdvAxNGLCJO1FKuRuQOigF1zMTpHzXtalK79K4OPe/3Yk YgLwHZXGvaQIJqihF7T2+Q== 0001261380-06-000053.txt : 20061229 0001261380-06-000053.hdr.sgml : 20061229 20061229193111 ACCESSION NUMBER: 0001261380-06-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061229 FILED AS OF DATE: 20061229 DATE AS OF CHANGE: 20061229 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: 061306820 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 2006-12-29 0001006045 IRIDEX CORP IRIX 0001235950 BOUTACOFF THEODORE A 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2006-12-29 4 M 0 5000 7.25 A 150945 D Common Stock 2006-12-29 4 S 0 5000 9.03 D 145945 D Stock Option Right to Buy 7.25 2006-12-29 4 M 0 5000 0 D 1997-12-31 2006-12-31 Common Stock 5000 0 D The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 Selling Plan adopted by the reporting person on 8/26/05. This option was granted pursuant to IRIDEX Corporation's incentive 8910 Stock Plan and is exempt pursuant to Rule 16b-3. The shares shall vest as follows: 12/48ths of the shares shall vest 12 months after the Vesting Commencement Date and 1/48th of the shares shall vest each month thereafter. s/s Susan Bruce, Attorney-in-Fact for Theodore A. Boutacoff 2006-12-29 -----END PRIVACY-ENHANCED MESSAGE-----