0001019687-12-000823.txt : 20120306
0001019687-12-000823.hdr.sgml : 20120306
20120306165731
ACCESSION NUMBER: 0001019687-12-000823
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120302
FILED AS OF DATE: 20120306
DATE AS OF CHANGE: 20120306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Forkey Joseph Norman
CENTRAL INDEX KEY: 0001360197
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-10647
FILM NUMBER: 12671226
MAIL ADDRESS:
STREET 1: C/O PRECISION OPTICS CORPORATION INC
STREET 2: 22 EAST BROADWAY
CITY: GARDNER
STATE: MA
ZIP: 01440
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PRECISION OPTICS Corp INC
CENTRAL INDEX KEY: 0000867840
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 042795294
STATE OF INCORPORATION: MA
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 22 EAST BROADWAY
CITY: GARDNER
STATE: MA
ZIP: 01440
BUSINESS PHONE: 978-630-1800
MAIL ADDRESS:
STREET 1: 22 EAST BROADWAY
CITY: GARDNER
STATE: MA
ZIP: 01440
FORMER COMPANY:
FORMER CONFORMED NAME: PRECISION OPTICS CORPORATION INC
DATE OF NAME CHANGE: 19930328
FORMER COMPANY:
FORMER CONFORMED NAME: PRECISION OPTICS CORP INC
DATE OF NAME CHANGE: 19600201
4
1
forkey_f4.xml
OWNERSHIP DOCUMENT
X0304
4
2012-03-02
0
0000867840
PRECISION OPTICS Corp INC
PEYE
0001360197
Forkey Joseph Norman
PRECISION OPTICS CORPORATION, INC.
22 EAST BROADWAY
GARDNER
MA
01440
1
1
0
0
Chief Executive Officer
Stock Option (Right to Buy)
.55
2012-03-02
4
J
0
150000
D
2013-01-01
2022-02-09
Common Stock
150000
34224
D
Stock Option (Right to Buy)
1.20
2012-03-02
4
A
0
150000
A
2013-01-01
2022-03-02
Common Stock
150000
184224
D
Each of the Directors and Officers to whom options were granted on February 9, 2012 agreed to cancel the options granted and accept an equal number of replacement options granted on March 2, 2012, with an exercise price of $1.20.
The options shall vest in increments of 25,000 shares on the first day of each quarter, beginning on January 1, 2013, until all shares are fully vested.
The options were issued as compensation for services provided to the Company.
/s/ Jack P. Dreimiller as attorney in fact
2012-03-06