0001753926-23-000502.txt : 20230425 0001753926-23-000502.hdr.sgml : 20230425 20230425173132 ACCESSION NUMBER: 0001753926-23-000502 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220830 FILED AS OF DATE: 20230425 DATE AS OF CHANGE: 20230425 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bolck Joachim Eberhard CENTRAL INDEX KEY: 0001974849 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36747 FILM NUMBER: 23846010 MAIL ADDRESS: STREET 1: 33 CLUB VIEW LANE CITY: ROLLING HILLS ESTATES STATE: CA ZIP: 90274 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 3 1 ownership.xml X0206 3 2022-08-30 0 0001266806 Vivani Medical, Inc. VANI 0001974849 Bolck Joachim Eberhard 33 CLUB VIEW LANE ROLLING HILLS ESTATES CA 90274 0 0 1 0 Common Stock 528265 D Common Stock 2440327 I See footnote Common Stock 2450895 I See footnote Joachim Bolck, together with Yaeko Bolck, as conservators for Hideo Saito Bolck. Joachim Bolck, together with Yaeko Bolck, as conservators for Yasuo Saito Bolck. /s/ Joachim Bolck 2023-04-25