0001437749-22-000547.txt : 20220106
0001437749-22-000547.hdr.sgml : 20220106
20220106160337
ACCESSION NUMBER: 0001437749-22-000547
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220104
FILED AS OF DATE: 20220106
DATE AS OF CHANGE: 20220106
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: 22514820
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: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 345 INVERNESS DRIVE SOUTH
STREET 2: BUILDING B, SUITE 250
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
BUSINESS PHONE: 4085301900
MAIL ADDRESS:
STREET 1: 345 INVERNESS DRIVE SOUTH
STREET 2: BUILDING B, SUITE 250
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
FORMER COMPANY:
FORMER CONFORMED NAME: PLC SYSTEMS INC
DATE OF NAME CHANGE: 19930328
4
1
rdgdoc.xml
FORM 4
X0306
4
2022-01-04
0000879682
VIVEVE MEDICAL, INC.
VIVE
0001362520
Morris Arlene
C/O VIVEVE MEDICAL, INC.
345 INVERNESS DRIVE S., BLDG B, STE 250
ENGLEWOOD
CO
80112
1
Non-Qualified Stock Option (Right to Purchase)
1.26
2022-01-04
4
A
0
22000
0
A
2032-01-03
Common Stock
22000
22000
D
The reporting person is a participant in the Issuer's Amended and Restated 2013 Stock Option and Incentive Plan, as amended (the "2013 Plan") and received 22,000 non-qualified stock options on January 4, 2022 (the "Grant Date"). The non-qualified stock options shall vest and become exercisable in 48 equal monthly installments from the Grant Date.
/s/ Jim Robbins, as Attorney-in-Fact
2022-01-06