0001261380-17-000004.txt : 20170316
0001261380-17-000004.hdr.sgml : 20170316
20170316172816
ACCESSION NUMBER: 0001261380-17-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170315
FILED AS OF DATE: 20170316
DATE AS OF CHANGE: 20170316
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dizon Romeo R
CENTRAL INDEX KEY: 0001658282
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27598
FILM NUMBER: 17695610
MAIL ADDRESS:
STREET 1: 1212 TERRA BELLA AVENUE
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2017-03-15
0001006045
IRIDEX CORP
IRIX
0001658282
Dizon Romeo R
1212 TERRA BELLA AVENUE
MOUNTAIN VIEW
CA
94043
0
0
0
1
Principal Accounting Officer
Common Stock
2017-03-15
4
S
0
2811
13.1583
D
17289
D
/s/ Susan Bruce, Attorney-in-Fact for Romeo R. Dizon
2017-03-16