0001445866-17-000922.txt : 20170623
0001445866-17-000922.hdr.sgml : 20170623
20170623192535
ACCESSION NUMBER: 0001445866-17-000922
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170622
FILED AS OF DATE: 20170623
DATE AS OF CHANGE: 20170623
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Partners II, LLC
CENTRAL INDEX KEY: 0001411987
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27598
FILM NUMBER: 17928707
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: (925) 988-0285
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Partners, L.L.C.
CENTRAL INDEX KEY: 0001311443
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27598
FILM NUMBER: 17928708
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: 925-648-2085
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Capital Partners III, LP
CENTRAL INDEX KEY: 0001411986
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27598
FILM NUMBER: 17928709
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: (925) 988-0285
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Capital Partners II, L.P.
CENTRAL INDEX KEY: 0001460781
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27598
FILM NUMBER: 17928710
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: 925-236-9790
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Catalyst Fund IX, L.P.
CENTRAL INDEX KEY: 0001460518
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27598
FILM NUMBER: 17928711
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: 925-236-9790
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Capital Partners, L.P.
CENTRAL INDEX KEY: 0001338149
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27598
FILM NUMBER: 17928712
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: 925-648-2085
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
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
form4.xml
OWNERSHIP DOCUMENT
X0306
4
2017-06-22
0
0001006045
IRIDEX CORP
IRIX
0001338149
BlueLine Capital Partners, L.P.
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
0001460518
BlueLine Catalyst Fund IX, L.P.
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
0001460781
BlueLine Capital Partners II, L.P.
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
0001411986
BlueLine Capital Partners III, LP
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
0001311443
BlueLine Partners, L.L.C.
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
0001411987
BlueLine Partners II, LLC
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
Common Stock
2017-06-22
4
J
0
600000
0
D
1460688
D
These securities were owned by BlueLine Capital Partners, L.P. On June 22, 2017, BlueLine Capital Partners, L.P. executed an in-kind distribution, without consideration, of 600,000 shares of the Issuer's common stock to certain of its limited partners.
Scott A. Shuda, by power of attorney for all reporting persons. As described in Amendment No. 4 to Schedule 13D ("Amendment No. 4") filed on October 25, 2007 with respect to the securities owned by BlueLine Capital Partners, L.P., BlueLine Capital Partners II, L.P., BlueLine Capital Partners III, L.P., BlueLine Catalyst Fund VIII, L.P., BlueLine Catalyst Fund IX, L.P., BlueLine Partners, L.L.C., and BlueLine Partners II, L.L.C., as of the date of Amendment No. 4, the Reporting Entities may have been deemed to be a "group" under Section 13(d) of the Securities Exchange Act and accordingly each Reporting Entity may have been deemed to have beneficial ownership of 10% or more of the securities.
/s/ Scott A. Shuda
2017-06-23