-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ucu83hJBLVuREEaqSWpaEuMGerEgdOmA6aGR7/kccz0RCgCY0uq9BnIqkczS1OOo lNpy2KrgVj7IIdutABWBXw== 0000910680-04-000090.txt : 20040130 0000910680-04-000090.hdr.sgml : 20040130 20040130164037 ACCESSION NUMBER: 0000910680-04-000090 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALLON NOAM CENTRAL INDEX KEY: 0001123597 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11140 FILM NUMBER: 04556401 BUSINESS ADDRESS: STREET 1: C/O MEDIVISION STREET 2: PO BOX 45 INDUSTRIAL PARK CITY: YOKNEAM ISRAEL STATE: L3 ZIP: 00000 MAIL ADDRESS: STREET 1: C/O MEDIVISION STREET 2: PO BOX 45 INDUSTRIAL PARK CITY: YOKNEAM ISRAEL STATE: L3 ZIP: 00000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OPHTHALMIC IMAGING SYSTEMS CENTRAL INDEX KEY: 0000885317 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 943035367 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 221 LATHROP WAY STREET 2: SUITE 1 CITY: SACRAMENTO STATE: CA ZIP: 95815 BUSINESS PHONE: 9166462020 MAIL ADDRESS: STREET 1: 221 LATHROP WAY STREET 2: SUITE 1 CITY: SACRAMENTO STATE: CA ZIP: 95815 FORMER COMPANY: FORMER CONFORMED NAME: OPHTHALMIC IMAGING SYSTEMS INC DATE OF NAME CHANGE: 19930328 5 1 f5nallon1203_ex.xml X0201 5 2003-12-31 0 0 0 0000885317 OPHTHALMIC IMAGING SYSTEMS OISI 0001123597 ALLON NOAM C/O OPHTHALMIC IMAGING SYSTEMS 221 LATHROP WAY, SUITE I SACRAMENTO CA 95815 ISRAEL 1 0 0 0 Options to Purchase Common Stock .41 2001-09-06 5 A 0 150000 .41 A 2011-09-05 Common Stock 150000 150000 D Options to Purchase Common Stock .41 2003-04-10 5 A 0 30000 .41 A 2013-04-09 Common Stock 30000 30000 D Exercisable immediately as to 25,000 shares and exercisable in five equal semi-annual installments as to the remaining shares, beginning September 8, 2001. Exercisable immediately as to 5,000 shares and exercisable in five equal semi-annual installments as to the remaining shares, beginning October 1, 2003. /s/ Noam Allon 2004-01-29 -----END PRIVACY-ENHANCED MESSAGE-----