0001437749-18-010052.txt : 20180515 0001437749-18-010052.hdr.sgml : 20180515 20180515193615 ACCESSION NUMBER: 0001437749-18-010052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180511 FILED AS OF DATE: 20180515 DATE AS OF CHANGE: 20180515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JORN DEBORA CENTRAL INDEX KEY: 0001643304 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11388 FILM NUMBER: 18838445 MAIL ADDRESS: STREET 1: 150 COMMERCIAL STREET CITY: SUNNYVALE STATE: CA ZIP: 94086 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 2018-05-11 0000879682 VIVEVE MEDICAL, INC. VIVE 0001643304 JORN DEBORA 345 INVERNESS DRIVE SOUTH, BUILDING B, SUITE 250 ENGLEWOOD CO 80112 1 Stock Options (Right to Purchase) 1.97 2018-05-11 4 A 0 150000 0 A 2028-05-10 Common Stock 150000 150000 D The Reporting Person is a participant in the Issuer's Amended and Restated 2013 Stock Option and Incentive Plan and received 150,000 stock options (the "Grant") on May 11, 2018 (the "Grant Date"). The Grant shall vest in equal monthly installments over a period of 24 months following the Grant Date subject to the Reporting Person's continued service to the Issuer through each vesting date. /s/ Debora Jorn 2018-05-15