-----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, OVM5BDKa0fTZaFbNGzlsFtU7TMG2e2oGGBCxxrD7AYAV9AP6kCk2E307JodGHd9X oMETx2rO6AKMeL1MLIAybg== 0001261380-07-000012.txt : 20070410 0001261380-07-000012.hdr.sgml : 20070410 20070410153845 ACCESSION NUMBER: 0001261380-07-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070409 FILED AS OF DATE: 20070410 DATE AS OF CHANGE: 20070410 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: 07758883 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 2007-04-09 0001006045 IRIDEX CORP IRIX 0001235950 BOUTACOFF THEODORE A 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2007-04-09 4 M 0 7500 5.50 A 154047 D Stock Option Right to Buy 5.50 2007-04-09 4 M 0 7500 0 D 1998-04-28 2007-04-28 Common Stock 7500 7500 D 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 2007-04-10 -----END PRIVACY-ENHANCED MESSAGE-----