-----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, DVousCHasFp9JXZoFsn7Iii4QZiy9lFrrCDJaxd8TpxU03gHx/l/tUfleDedfQBw Vdn8WYgTLvwZX4/LdWH0+Q== 0000910680-05-000786.txt : 20051213 0000910680-05-000786.hdr.sgml : 20051213 20051213111557 ACCESSION NUMBER: 0000910680-05-000786 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051209 FILED AS OF DATE: 20051213 DATE AS OF CHANGE: 20051213 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: 051260088 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 f4benoff120905_ex.xml FORM 4 X0202 4 2005-12-09 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 1.45 2005-12-09 4 A 0 20000 0 A 2005-12-09 2015-12-09 Common Stock 20000 20000 D /s/ Michael Benoff 2005-12-09 -----END PRIVACY-ENHANCED MESSAGE-----