0001209191-19-043441.txt : 20190726 0001209191-19-043441.hdr.sgml : 20190726 20190726212145 ACCESSION NUMBER: 0001209191-19-043441 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190724 FILED AS OF DATE: 20190726 DATE AS OF CHANGE: 20190726 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dizon Romeo R CENTRAL INDEX KEY: 0001658282 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 19979208 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 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: 1228 BUSINESS ADDRESS: STREET 1: 1212 TERRA BELLA AVE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6509404700 MAIL ADDRESS: STREET 1: 1212 TERRA BELLA AVENUE CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-07-24 0 0001006045 IRIDEX CORP IRIX 0001658282 Dizon Romeo R 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 0 0 0 1 Vice President - Finance Common Stock 2019-07-24 4 A 0 2077 0.00 A 28133 D Common Stock 2019-07-24 4 F 0 718 3.57 D 27415 D On July 24, 2019, 2,077 of the 15,000 performance share units granted to the Reporting Person on July 28, 2018 were released upon the achievement of performance criteria. Represents shares that have been withheld by the Issuer to satisfy income tax withholding and remittance obligations in connection with the net settlement of performance share units and does not represent a sale by the Reporting Person. /s/ Nilo De Castro, Attorney-in-Fact for Romeo Dizon 2019-07-26