0001704739-18-000048.txt : 20181016 0001704739-18-000048.hdr.sgml : 20181016 20181016180439 ACCESSION NUMBER: 0001704739-18-000048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181015 FILED AS OF DATE: 20181016 DATE AS OF CHANGE: 20181016 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grove Robert Earle CENTRAL INDEX KEY: 0001755510 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 181125143 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 2018-10-15 0001006045 IRIDEX CORP IRIX 0001755510 Grove Robert Earle 28 GREY EAGLE CT. PLEASANTON CA 94566 1 0 0 0 Stock Option (right to buy) 4.98 2018-10-15 4 A 0 15000 0 A 2025-10-15 Common Stock 15000 15000 D This option was granted pursuant to IRIDEX Corporation's 2008 Amended and Restated Equity Incentive Plan and is exempt pursuant to Rule 16b-3. The shares are subject to vesting according to the following schedule: 1/48th of the total number of shares vest on November 15, 2018 and each month thereafter. /s/ Nilo De Castro, Attorney-in-Fact for Robert Earle Grove 2018-10-16