-----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, DFKTamPKcXf4q1PwZxY0mEF0w5en+CbBRfN1Wag9ePVuUFxezktD4861utT2PT2Q r9UppIAliawyuMaZ2+nDmg== 0000910680-05-000054.txt : 20050112 0000910680-05-000054.hdr.sgml : 20050112 20050112154027 ACCESSION NUMBER: 0000910680-05-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041024 FILED AS OF DATE: 20050112 DATE AS OF CHANGE: 20050112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHENHAR ARIEL CENTRAL INDEX KEY: 0001123602 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11140 FILM NUMBER: 05525860 MAIL ADDRESS: STREET 1: C/O MEDIVISION STREET 2: PO BOX 45 INDUSTRIAL PARK CITY: YOKNEAM ISRAEL 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 4 1 f4-shenhar102404_ex.xml X0202 4 2004-10-24 0 0000885317 OPHTHALMIC IMAGING SYSTEMS OISI 0001123602 SHENHAR ARIEL C/O OPHTHALMIC IMAGING SYSTEMS 221 LATHROP WAY, SUITE 1 SACRAMENTO CA 95815 1 1 0 0 Chief Financial Officer Options to Purchase Common Stock 0.41 2003-04-10 4 A 0 150000 A 2013-04-09 Common Stock 150000 150000 D Options to Purchase Common Stock 0.41 2003-04-10 4 A 0 50000 A 2013-04-09 Common Stock 50000 200000 D Options to Purchase Common Stock 0.681 2004-10-24 4 A 0 75000 A 2014-10-23 Common Stock 75000 75000 D Exercisable immediately as to 125,000 shares and exercisable as to the remaining shares on September 9, 2003. Exercisable immediately as to 8,333 shares and exercisable in five equal semi-annual installments as to the remaining shares, beginning October 1, 2003. Exercisable in six equal semi-annual installments for the three years following October 24, 2004. Not applicable. /s/ Ariel Shenhar 2005-01-12 -----END PRIVACY-ENHANCED MESSAGE-----