0001261380-13-000020.txt : 20130327 0001261380-13-000020.hdr.sgml : 20130327 20130327173046 ACCESSION NUMBER: 0001261380-13-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130325 FILED AS OF DATE: 20130327 DATE AS OF CHANGE: 20130327 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOORE WILLIAM M CENTRAL INDEX KEY: 0001217126 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 13720906 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 2013-03-25 0001006045 IRIDEX CORP IRIX 0001217126 MOORE WILLIAM M 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 1 0 0 Chairman and CEO Performance Rights 2013-03-25 4 A 0 220000 0 A 2015-02-27 Common Stock 220000 220000 D The performance right represents a contingent right to receive up to 220,000 shares of IRIDEX common stock. The number of shares issuable pursuant to the performance right will be based upon the Company's average stock price performance or fair market value, as set forth within a Restricted Stock Unit Award Agreement between IRIDEX and the reporting person. /s/ Susan Bruce, Attorney-in-Fact for William M. Moore 2013-03-27