0001753926-23-000259.txt : 20230308
0001753926-23-000259.hdr.sgml : 20230308
20230308213214
ACCESSION NUMBER: 0001753926-23-000259
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230306
FILED AS OF DATE: 20230308
DATE AS OF CHANGE: 20230308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mendelsohn Adam
CENTRAL INDEX KEY: 0001940008
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36747
FILM NUMBER: 23717995
MAIL ADDRESS:
STREET 1: C/O 5858 HORTON ST. SUITE 280
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Vivani Medical, 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: 5858 HORTON STREET, SUITE 280
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
BUSINESS PHONE: 818-833-5000
MAIL ADDRESS:
STREET 1: 5858 HORTON STREET, SUITE 280
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
FORMER COMPANY:
FORMER CONFORMED NAME: SECOND SIGHT MEDICAL PRODUCTS INC
DATE OF NAME CHANGE: 20031010
4
1
ownership.xml
X0306
4
2023-03-06
0
0001266806
Vivani Medical, Inc.
VANI
0001940008
Mendelsohn Adam
C/O 5858 HORTON ST. SUITE 280
EMERYVILLE
CA
94608
1
1
0
0
CEO
Common Stock Option
1.09
2023-03-06
4
A
0
200000
0
A
2023-03-06
2033-03-06
Common Stock
200000
200000
D
RSU
2023-03-06
4
A
0
100000
0
A
2023-03-06
2027-03-06
Common Stock
100000
100000
D
Each RSU represents a contingent right to receive one share of Vivani common stock.
The stock options have a 10-year term and vest immediately when share price closes at $6.30 for three consecutive business days. If the options fail to reach $6.30 for three consecutive business days within a four year term from the date of grant the options expire.
First third of RSUs vest when the stock price is at or above $3.15 for three consecutive business days. Second third vests one year after that. Final third vests one year after the second third. If the RSUs fail to reach $3.15 for three consecutive business days within a four year term from the date of the grant the RSUs expire.
/s/ Adam Mendelsohn
2023-03-08