-----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, PQaRUYk5z64gzfO/TRWOiu0LZDOFYrN6H8+L343ELl7+MkOlWqn6xVsgZCGXnYH+ xrVenWsIeGruMDODEgT4VA== 0000891618-98-000796.txt : 19980218 0000891618-98-000796.hdr.sgml : 19980218 ACCESSION NUMBER: 0000891618-98-000796 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980217 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: IRIDEX CORP CENTRAL INDEX KEY: 0001006045 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 770210467 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-48169 FILM NUMBER: 98543255 BUSINESS ADDRESS: STREET 1: 340 PIONEER WAY CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 BUSINESS PHONE: 4159628100 MAIL ADDRESS: STREET 1: 340 PIONEER WAY CITY: MOUNTAIN VIEW STATE: CA ZIP: 94041 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CHANG MILTON PHD CENTRAL INDEX KEY: 0000923328 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O NEW FOCUS STREET 2: 2630 WLASH AVENUE CITY: SANTA CLARA STATE: CA ZIP: 95051-0905 MAIL ADDRESS: STREET 1: 2630 WLASH AVENUE CITY: SANTA CLARA STATE: CA ZIP: 95051 SC 13G/A 1 AMENDMENT #1 TO SCHEDULE 13G 1 -------------------------- OMB APPROVAL -------------------------- OMB Number: 3235-0145 Expires: December 31, 1997 Estimated average burden hours per response...14.90 -------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 1 )* ------ IRIDEX CORPORATION ----------------------------------------- (Name of Issuer) COMMON STOCK ----------------------------------------- (Title of Class of Securities) 462684101 ----------------------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). 2 CUSIP NO. SCHEDULE 13G PAGE 2 OF 5 PAGES --------------------- ----- ----- (1) NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Milton M. Chang ###-##-#### --------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION Mountain View, California --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 391,405 (including 24,375 options) SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY 0 EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 391,405 (including 24,375 options) -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER 0 -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 391,405 --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 Approximately 6.1% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* Individual --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 3 Page 3 of 5 ITEM 1(a). Name of Issuer: IRIDEX Corporation ITEM 1(b). Address of Issuer's Principal Executive Offices: 1212 Terra Bella Mountain View, CA 94043 ITEM 2(a) Name of Person Filing: Milton Chang ITEM 2(b) Address of Principal Business Office or, if none, Residence: 7 Trafalgar Newport Beach, CA 92660 ITEM 2(c) Citizenship: U.S.A. ITEM 2(d) Title of Class of Securities: Common Stock ITEM 2(e) CUSIP Number: 462684 10 1 ITEM 3. If this Statement is Filed Pursuant to Rules 13d-1(b), or 13(d)-2(b). Check Whether the Person Filing is a- ITEM 4. OWNERSHIP (a) Amount Beneficially Owned: 391,405 (including 24,375 shares issuable upon exercise of outstanding options at December 31, 1997; no shares exercisable 60 days forward) (b) Percent of Class: Approximately six and one tenth percent (6.1%) 4 Page 4 of 5 (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 391,405 (ii) Shared power to vote or to direct the vote 0 (iii) Sole power to dispose or to direct the disposition of 391,405 (iv) Shared power to dispose or to direct the disposition of 0 ITEM 5. Ownership of Five Percent or Less of a Class. Not Applicable. ITEM 6. Ownership of More than Five Percent On Behalf of Another Person. Not Applicable. ITEM 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported On by the Parent Holding Company. Not Applicable. ITEM 8. Identification and Classification of Members of the Group. Not Applicable. ITEM 9. Notice of Dissolution of Group. Not Applicable. 5 Page 5 of 5 ITEM 10. CERTIFICATION By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 13, 1998 /s/ MILTON CHANG - ----------------- --------------------------------------- Date Milton Chang -----END PRIVACY-ENHANCED MESSAGE-----