0001261380-11-000012.txt : 20110701 0001261380-11-000012.hdr.sgml : 20110701 20110701191900 ACCESSION NUMBER: 0001261380-11-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110701 FILED AS OF DATE: 20110701 DATE AS OF CHANGE: 20110701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FITCH SANFORD CENTRAL INDEX KEY: 0001198927 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 11947514 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 2011-07-01 0001006045 IRIDEX CORP IRIX 0001198927 FITCH SANFORD 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2011-07-01 4 A 0 5063 0 A 19063 D The restricted stock shall vest with respect to one hundred percent (100%) of the shares on July 1, 2012. /s/ Susan Bruce, Attorney-in-Fact for Sanford Fitch 2011-07-01