0001261380-12-000033.txt : 20121217 0001261380-12-000033.hdr.sgml : 20121217 20121217194303 ACCESSION NUMBER: 0001261380-12-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121213 FILED AS OF DATE: 20121217 DATE AS OF CHANGE: 20121217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ARIAS EDUARDO CENTRAL INDEX KEY: 0001234129 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 121269782 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 X0306 4 2012-12-13 0001006045 IRIDEX CORP IRIX 0001234129 ARIAS EDUARDO 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 0 1 0 0 Sr. VP, Int'l Sales & Bus Dev Common Stock 2012-12-13 4 A 0 10000 0 A 176925 D Shares are represented by restricted stock units and will vest one hundred percent (100%) on December 31, 2013. /s/Susan L. Bruce, Attorney-in-Fact for Eduardo Arias 2012-12-17