0001437749-17-015822.txt : 20170908
0001437749-17-015822.hdr.sgml : 20170908
20170908203643
ACCESSION NUMBER: 0001437749-17-015822
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170906
FILED AS OF DATE: 20170908
DATE AS OF CHANGE: 20170908
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Morris Arlene
CENTRAL INDEX KEY: 0001362520
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11388
FILM NUMBER: 171077712
MAIL ADDRESS:
STREET 1: C/O AFFYMAX, INC.
STREET 2: 4001 MIRANDA AVE.
CITY: PALO ALTO
STATE: CA
ZIP: 94304
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VIVEVE MEDICAL, INC.
CENTRAL INDEX KEY: 0000879682
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 043153858
STATE OF INCORPORATION: B0
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 150 COMMERCIAL STREET
CITY: SUNNYVALE
STATE: CA
ZIP: 94086
BUSINESS PHONE: 4085301900
MAIL ADDRESS:
STREET 1: 150 COMMERCIAL STREET
CITY: SUNNYVALE
STATE: CA
ZIP: 94086
FORMER COMPANY:
FORMER CONFORMED NAME: PLC SYSTEMS INC
DATE OF NAME CHANGE: 19930328
4
1
rdgdoc.xml
FORM 4
X0306
4
2017-09-06
0000879682
VIVEVE MEDICAL, INC.
VIVE
0001362520
Morris Arlene
345 INVERNESS DR. SOUTH, SUITE 250
ENGLEWOOD
CO
80112
1
Non-qualified Stock Option (Right to Purchase)
5.58
2017-09-06
4
A
0
17500
0
A
2027-09-05
Common Stock
17500
17500
D
The reporting person is a participant in the Issuer's Amended and Restated 2013 Stock Option and Incentive Plan (the "Plan") and received 17,500 non-qualified stock options on September 6, 2017 (the "Grant Date"). The non-qualified stock options shall vest in full on the first anniversary of the Grant Date.
/s/ Scott Durbin, as Attorney-in-Fact
2017-09-08