0001261380-17-000006.txt : 20170413 0001261380-17-000006.hdr.sgml : 20170413 20170413200336 ACCESSION NUMBER: 0001261380-17-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170307 FILED AS OF DATE: 20170413 DATE AS OF CHANGE: 20170413 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: 17761938 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-03-07 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 2017-03-07 4 A 0 8000 0 A 25289 D The performance-based restricted stock unit award is subject to vesting over a four year performance period covering the Company's fiscal years 2017 through 2020, subject to the resporting person continuing to be a service provider through the vesting date. The awards become eligible to vest based on a specified level of the Company's stock price and the reporting person has the ability to earn up to 100% of the shares underlying the award based on achievement of the performance criteria. /s/ Susan Bruce, Attorney-in-Fact for Romeo R. Dizon 2017-04-13