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