0001753926-22-001194.txt : 20220831 0001753926-22-001194.hdr.sgml : 20220831 20220831184118 ACCESSION NUMBER: 0001753926-22-001194 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220830 FILED AS OF DATE: 20220831 DATE AS OF CHANGE: 20220831 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mendelsohn Adam CENTRAL INDEX KEY: 0001940008 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36747 FILM NUMBER: 221219116 MAIL ADDRESS: STREET 1: 32 WHITEHALL DRIVE CITY: ORINDA STATE: CA ZIP: 94563 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Vivani Medical, 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: 13170 TELFAIR AVE. CITY: SYLMAR STATE: CA ZIP: 91342 BUSINESS PHONE: 818-833-5000 MAIL ADDRESS: STREET 1: 13170 TELFAIR AVE. CITY: SYLMAR STATE: CA ZIP: 91342 FORMER COMPANY: FORMER CONFORMED NAME: SECOND SIGHT MEDICAL PRODUCTS INC DATE OF NAME CHANGE: 20031010 3 1 ownership.xml X0206 3 2022-08-30 0 0001266806 Vivani Medical, Inc. VANI 0001940008 Mendelsohn Adam C/O 5858 HORTON ST. - SUITE 280 EMERYVILLE CA 94608 1 1 0 0 CEO Common Stock 0 D /s/ Adam Mendelsohn 2022-08-31