0001437749-22-000543.txt : 20220106 0001437749-22-000543.hdr.sgml : 20220106 20220106160223 ACCESSION NUMBER: 0001437749-22-000543 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220104 FILED AS OF DATE: 20220106 DATE AS OF CHANGE: 20220106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Durbin Scott CENTRAL INDEX KEY: 0001493500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11388 FILM NUMBER: 22514804 MAIL ADDRESS: STREET 1: PO BOX 376 CITY: ANN ARBOR STATE: MI ZIP: 48106 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VIVEVE MEDICAL, INC. CENTRAL INDEX KEY: 0000879682 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 043153858 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 345 INVERNESS DRIVE SOUTH STREET 2: BUILDING B, SUITE 250 CITY: ENGLEWOOD STATE: CO ZIP: 80112 BUSINESS PHONE: 4085301900 MAIL ADDRESS: STREET 1: 345 INVERNESS DRIVE SOUTH STREET 2: BUILDING B, SUITE 250 CITY: ENGLEWOOD STATE: CO ZIP: 80112 FORMER COMPANY: FORMER CONFORMED NAME: PLC SYSTEMS INC DATE OF NAME CHANGE: 19930328 4 1 rdgdoc.xml FORM 4 X0306 4 2022-01-04 0000879682 VIVEVE MEDICAL, INC. VIVE 0001493500 Durbin Scott C/O VIVEVE MEDICAL, INC. 345 INVERNESS DRIVE S., BLDG B, STE 250 ENGLEWOOD CO 80112 1 Chief Executive Officer Incentive Stock Option (Right to Purchase) 1.26 2022-01-04 4 A 0 258000 0 A 2032-01-03 Common Stock 258000 258000 D The reporting person is a participant in the Issuer's Amended and Restated 2013 Stock Option and Incentive Plan, as amended (the "2013 Plan") and received 258,000 incentive stock options on January 4, 2022 (the "Grant Date"). The incentive stock options shall vest and become exercisable in 48 equal monthly installments from the Grant Date. /s/ Scott Durbin 2022-01-06