0001615774-16-004149.txt : 20160210
0001615774-16-004149.hdr.sgml : 20160210
20160210165039
ACCESSION NUMBER: 0001615774-16-004149
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160208
FILED AS OF DATE: 20160210
DATE AS OF CHANGE: 20160210
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SECOND SIGHT MEDICAL PRODUCTS INC
CENTRAL INDEX KEY: 0001266806
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 000000000
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12744 SAN FERNANDO ROAD, BLDG. 3
CITY: SYLMAR
STATE: CA
ZIP: 91342
BUSINESS PHONE: 818-833-5000
MAIL ADDRESS:
STREET 1: 12744 SAN FERNANDO ROAD, BLDG. 3
CITY: SYLMAR
STATE: CA
ZIP: 91342
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Williams Gregg
CENTRAL INDEX KEY: 0001624919
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36747
FILM NUMBER: 161406366
MAIL ADDRESS:
STREET 1: PO BOX 200
CITY: WALLED LAKE
STATE: MI
ZIP: 48390-0200
4
1
s102622.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
X0306
4
2016-02-08
0
0001266806
SECOND SIGHT MEDICAL PRODUCTS INC
EYES
0001624919
Williams Gregg
12744 SAN FERNANDO ROAD
SUITE 400
SYLMAR
CA
91342
1
0
1
0
COMMON STOCK
2016-02-08
4
J
0
4358082
3.37
D
0
I
See footnote
COMMON STOCK
2016-02-08
4
J
0
4358082
3.37
A
5810180
I
See footnote
COMMON STOCK
5439
D
WARRANT
5.00
2016-02-08
4
J
0
214921
1.62
D
2012-07-31
2017-07-31
COMMON STOCK
214921
0
I
See footnote
WARRANT
5.00
2016-02-08
4
J
0
214921
1.62
A
2012-07-31
2017-07-31
COMMON STOCK
214921
214921
I
See footnote
WARRANT
5.00
2013-02-23
2018-02-28
COMMON STOCK
240000
240000
I
See footnote
On February 8, 2016 Sam B. Williams Power Trust, a trust of which Mr. Williams is trustee and whose current life beneficiary is his mother and of which three trusts established for the benefit of Mr. Williams and his two siblings are remainder beneficiaries, sold (i) 4,358,082 shares of common stock and (ii) warrants to purchase 214,921 shares of common stock to Sam Williams Family Investments LLC, whose manager is Mr. Williams and whose owners are the three aforementioned trusts established for the benefit of Mr. Williams and his two siblings. Each trust owns 1/3 of Sam Williams Family Investments LLC. Mr. Williams exercises sole voting and dispositive power over the securities acquired by Sam Williams Family Investments LLC from the Sam B. Williams Power Trust and his total beneficial ownership remains unchanged as a result of this transaction.
Williams International Co. LLC owns 1,452,098 shares and warrants to purchase 240,000 shares.
Previously reported on Form 4, filed with the Commission on June 3, 2015.
/s/ Gregg Williams
2016-02-10