-----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, HGSfJTFQvqeRTRqD6o80CwgWFjf1DrAZFoVVZ4RV0Nj/lr/4jJjJbdGnoJiwV6Y8 hmzpjMc5R0mUOfHyTwzQ5g== 0001034458-04-000001.txt : 20040212 0001034458-04-000001.hdr.sgml : 20040212 20040212180106 ACCESSION NUMBER: 0001034458-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040212 FILED AS OF DATE: 20040212 ISSUER: 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: 0102 BUSINESS ADDRESS: STREET 1: 1212 TERRA BELLA AVE CITY: MOUNTAIN VIEW STATE: CA ZIP: 95043-1824 BUSINESS PHONE: 6509404700 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 95043-1824 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAMMOND DONALD L CENTRAL INDEX KEY: 0001034458 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 04593286 BUSINESS ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650-940-4700 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-02-12 0 0001006045 IRIDEX CORP IRIX 0001034458 HAMMOND DONALD L 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 1 0 0 0 Common Stock 2004-02-11 4 M 0 3750 1 A 33907 D Common Stock 2004-02-11 4 S 0 3750 6.46 D 30157 D Non-Qualified Option (Right to Buy) (1) 1 2004-02-11 4 M 0 3750 0 D 1995-06-30 2004-08-02 Common Stock 3750 0 D (1) This option is granted pursuant to IRIDEX Corporation's director incentive option plan and is exempt pursuant to Rule 16b-3. (2) The shares are subject to the following vesting schedule: 12/48ths exercisable on 6/30/95 and then 148ths each calendar month thereafter. /s/ Donald Hammond 2004-02-11 -----END PRIVACY-ENHANCED MESSAGE-----