0001140361-11-018446.txt : 20110324
0001140361-11-018446.hdr.sgml : 20110324
20110324143614
ACCESSION NUMBER: 0001140361-11-018446
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110323
FILED AS OF DATE: 20110324
DATE AS OF CHANGE: 20110324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SYMES MERLE
CENTRAL INDEX KEY: 0001334756
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11140
FILM NUMBER: 11708968
MAIL ADDRESS:
STREET 1: THE PROVENANCE GROUP, LLC
STREET 2: 608 GARDEN LEAF COURT
CITY: ST. LOUIS
STATE: MO
ZIP: 63011
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
doc1.xml
FORM 4
X0303
4
2011-03-23
0
0000885317
OPHTHALMIC IMAGING SYSTEMS
OISI
0001334756
SYMES MERLE
C/O OPTHALMIC IMAGING SYSTEMS
221 LATHROP WAY, SUITE 1
SACARAMENTO
CA
95815
1
0
0
0
Stock Option (right to buy)
0.80
2011-03-23
4
A
0
30000
0
A
2021-03-23
Common Stock
30000
30000
D
The stock option vests in six equal semi-annual installments beginning September 23, 2011.
/s/ Merle Symes
2011-03-24