0001753926-23-000512.txt : 20230425
0001753926-23-000512.hdr.sgml : 20230425
20230425174601
ACCESSION NUMBER: 0001753926-23-000512
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221219
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36747
FILM NUMBER: 23846087
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
4
1
ownership.xml
X0407
4
2022-12-19
0
0001266806
Vivani Medical, Inc.
VANI
0001974849
Bolck Joachim Eberhard
33 CLUB VIEW LANE
ROLLING HILLS ESTATES
CA
90274
0
0
1
0
0
Common Stock
2022-12-19
4
P
0
1000
.93
A
538665
D
Common Stock
2022-12-19
4
P
0
4000
.93
A
2474229
I
See footnote
Common Stock
2022-12-19
4
P
0
4000
.93
A
2474229
I
See footnote
Common Stock
2022-12-20
4
P
0
10000
.93
A
2484229
I
See footnote
Common Stock
2022-12-20
4
P
0
10000
.93
A
2484229
I
See footnote
Joachim and Yaeko Bolck as conservators for Hideo Saito Bolck.
Joachim and Yaeko Bolck as conservators for Yasuo Saito Bolck.
/s/ Joachim Bolck
2023-04-25