-----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, J4PDYpw85+NK070EyZ7c0FkdKEvh9HBUG/sU4PdMiYsGlz1hPm5Z9MrVtnZub6oc KS0z8O7hvCkMRxsWlJIWxQ== 0001261380-09-000023.txt : 20090904 0001261380-09-000023.hdr.sgml : 20090904 20090904162136 ACCESSION NUMBER: 0001261380-09-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090903 FILED AS OF DATE: 20090904 DATE AS OF CHANGE: 20090904 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POWERS TIMOTHY S CENTRAL INDEX KEY: 0001234131 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 091056403 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: 1230 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 X0303 4 2009-09-03 0001006045 IRIDEX CORP IRIX 0001234131 POWERS TIMOTHY S 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 0 1 0 0 VP, Operations Common Stock 2009-09-03 4 M 0 2500 .90 A 2500 D Common Stock 2009-09-03 4 S 0 2400 2.23 D 100 D Common Stock 2009-09-03 4 S 0 100 2.22 D 0 D Non-Qualified Opt to Buy .90 2009-09-03 4 M 0 2500 0 D 2009-01-11 2015-12-11 Common Stock 2500 0 D This option was granted pursuant to IRIDEX Corporation's 2008 Equity Incentive Plan and is exempt to Rule 16b-3. The shares are subject to vesting according to the following schedule: 1/48th of the total number of shares vest each month. Timothy S. Powers 2009-09-04 -----END PRIVACY-ENHANCED MESSAGE-----