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