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