-----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, BbXESKoDgrwTdmvitWy52SiCqlzgJugteVxpLdJqh26yJTtOcwCFzi8gnagdqJKp v/rnxu8NAWmApMtiS+vRew== 0000910680-05-000071.txt : 20050121 0000910680-05-000071.hdr.sgml : 20050121 20050121143936 ACCESSION NUMBER: 0000910680-05-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041024 FILED AS OF DATE: 20050121 DATE AS OF CHANGE: 20050121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BENOFF MICHAEL H CENTRAL INDEX KEY: 0001297670 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11140 FILM NUMBER: 05541164 BUSINESS ADDRESS: BUSINESS PHONE: 916-646-2020 MAIL ADDRESS: STREET 1: C/O OPHTHALMIC IMAGING SYSTEMS STREET 2: 221 LATHROP WAY, SUITE I CITY: SACRAMENTO STATE: CA ZIP: 95815 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 f4benoff102404_ex.xml X0202 4 2004-10-24 0 0000885317 OPHTHALMIC IMAGING SYSTEMS OISI 0001297670 BENOFF MICHAEL H C/O OPHTHALMIC IMAGING SYSTEMS 221 LATHROP WAY, SUITE I SACRAMENTO CA 95815 1 0 0 0 Options to Purchase Common Stock 0.681 2004-10-24 4 A 0 40000 A 2014-10-23 Common Stock 40000 40000 D Exercisable in six equal semi-annual installments for the three years following October 24, 2004. Not applicable. /s/ Michael Benoff 2005-01-21 -----END PRIVACY-ENHANCED MESSAGE-----