0001209191-23-050303.txt : 20230921 0001209191-23-050303.hdr.sgml : 20230921 20230921170840 ACCESSION NUMBER: 0001209191-23-050303 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230919 FILED AS OF DATE: 20230921 DATE AS OF CHANGE: 20230921 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mercer Patrick CENTRAL INDEX KEY: 0001786824 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27598 FILM NUMBER: 231269722 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: 1231 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 X0508 4 2023-09-19 0 0001006045 IRIDEX CORP IRIX 0001786824 Mercer Patrick 1212 TERRA BELLA AVENUE MOUNTAIN VIEW CA 94043 0 1 0 0 COO 0 Stock Option (Right to buy) 2.13 2023-09-19 4 A 0 115000 0.00 A 2030-09-19 Common Stock 115000 115000 D The option vests as to one-third of the shares on June 30, 2024 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date. /s/ Nilo De Castro, Attorney-in-Fact for Patrick Mercer 2023-09-21