0001753926-23-000813.txt : 20230620 0001753926-23-000813.hdr.sgml : 20230620 20230620192918 ACCESSION NUMBER: 0001753926-23-000813 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230615 FILED AS OF DATE: 20230620 DATE AS OF CHANGE: 20230620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Larson Alexandra L.P. CENTRAL INDEX KEY: 0001858534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36747 FILM NUMBER: 231027027 MAIL ADDRESS: STREET 1: 3797 BURNING TREE DRIVE CITY: BLOOMFIELD HILLS STATE: MI ZIP: 48302 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 form_4.xml FORM 4 X0407 4 2023-06-15 0 0001266806 Vivani Medical, Inc. VANI 0001858534 Larson Alexandra L.P. C/O 5858 HORTON ST., SUITE 280 EMERYVILLE CA 94608 1 0 0 0 0 Common Stock Option 1.48 2023-06-15 4 A 0 32121 0 A 2024-06-15 2033-06-15 Common Stock 32121 32121 D Awarded as compensation for serving on the Board of Directors. Options vest monthly over a one-year period. /s/ Alexandra Larson 2023-06-20