0000905718-15-000312.txt : 20150318
0000905718-15-000312.hdr.sgml : 20150318
20150318161932
ACCESSION NUMBER: 0000905718-15-000312
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150316
FILED AS OF DATE: 20150318
DATE AS OF CHANGE: 20150318
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Presbia PLC
CENTRAL INDEX KEY: 0001591096
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: L2
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 120/121 BAGGOT STREET LOWER
CITY: DUBLIN 2
STATE: L2
ZIP: 00000
BUSINESS PHONE: 353-659-9446
MAIL ADDRESS:
STREET 1: 120/121 BAGGOT STREET LOWER
CITY: DUBLIN 2
STATE: L2
ZIP: 00000
FORMER COMPANY:
FORMER CONFORMED NAME: Presbia Ireland, Ltd
DATE OF NAME CHANGE: 20131105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Blumenkranz Mark S.
CENTRAL INDEX KEY: 0001614869
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36824
FILM NUMBER: 15710259
MAIL ADDRESS:
STREET 1: C/O AVALANCHE BIOTECHNOLOGIES, INC.
STREET 2: 1035 O'BRIEN DRIVE, SUITE A
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
presbia_fm4031615.xml
OWNERSHIP DOCUMENT
X0306
4
2015-03-16
0
0001591096
Presbia PLC
LENS
0001614869
Blumenkranz Mark S.
C/O PRESBIA PLC
120/121 BAGGOT STREET LOWER
DUBLIN 2
L2
IRELAND
1
0
0
0
Ordinary Shares
2015-03-16
4
A
0
9270
0
A
9270
D
On March 16, 2015, the Reporting Person was granted 9,270 restricted ordinary shares, which vest in five equal annual installments beginning March 16, 2016.
The Reporting Person owns, directly and/or indirectly, equity interests in Presbia Holdings, an exempted company incorporated with limited liability in the Cayman Islands. Presbia Holdings holds 9,666,667 ordinary shares of Presbia PLC. Richard Ressler, directly and/or indirectly, possesses the sole power to vote and the sole power to direct the disposition of all securities of Presbia PLC held by Presbia Holdings. Richard Ressler files separate Section 16 reports. The Reporting Person disclaims beneficial ownership of the securities held by Presbia Holdings except to the extent of his pecuniary interest therein.
/s/ Mark S. Blumenkranz
2015-03-17