0001615774-17-006983.txt : 20171124 0001615774-17-006983.hdr.sgml : 20171124 20171124161703 ACCESSION NUMBER: 0001615774-17-006983 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171121 FILED AS OF DATE: 20171124 DATE AS OF CHANGE: 20171124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Gregg CENTRAL INDEX KEY: 0001624919 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36747 FILM NUMBER: 171221585 MAIL ADDRESS: STREET 1: PO BOX 200 CITY: WALLED LAKE STATE: MI ZIP: 48390-0200 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SECOND SIGHT MEDICAL PRODUCTS INC CENTRAL INDEX KEY: 0001266806 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12744 SAN FERNANDO ROAD, BLDG. 3 CITY: SYLMAR STATE: CA ZIP: 91342 BUSINESS PHONE: 818-833-5000 MAIL ADDRESS: STREET 1: 12744 SAN FERNANDO ROAD, BLDG. 3 CITY: SYLMAR STATE: CA ZIP: 91342 4 1 s108276_form4.xml OWNERSHIP DOCUMENT X0306 4 2017-11-21 0 0001266806 SECOND SIGHT MEDICAL PRODUCTS INC EYES 0001624919 Williams Gregg 12744 SAN FERNANDO ROAD, SUITE 400 SYLMAR CA 91342 1 0 1 0 COMMON STOCK 2017-11-21 4 P 0 24604 1.1882 A 19482572 I See footnote Warrant to Purchase Common 5.00 2013-02-23 2018-02-28 COMMON STOCK 408548 408548 I See footnote Warrant to Purchase Common Stock 1.47 2017-03-13 2022-03-13 Common Stock 6802721 6802721 I See footnote Sam B Williams 95 GST Trust, a trust of which Mr. Williams is trustee, acquired 24,604 shares of common stock reported on this Form 4 on November 21, 2017 at an average price of $1.1882 per share, in multiple open market transactions at prices ranging from $1.16 to $1.20 inclusive. The reporting person undertakes to provide the issuer or the staff of the SEC, upon request, full information regarding the number of shares acquired at each separate price. Of which, (i) Gregg Williams 2006 Trust, a trust of which Mr. Williams is trustee, owned 13,598,612 shares of common stock and warrants to purchase 6,971,269 shares of common stock, (ii) Williams International Co. LLC, whose manager is Mr. Williams, owns 1,484,254 shares and warrants to purchase 240,000 shares, (iii) Sam Williams Family Investments LLC, whose manager is Mr. Williams, owns 4,358,082 shares (and excludes warrants, with $5.00 exercise price per share, to purchase 214,921 shares, that expired July 31, 2017), and (iv) Sam B Williams 95 GST Trust, owns 41,624 shares common stock following November 21, 2017 purchases. /s/ Tom Miller By Power-of-Attorney 2017-11-24