SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol SECOND SIGHT MEDICAL PRODUCTS INC [ EYES ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 06/02/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
COMMON STOCK | 06/02/2015 | M | 78,153(1) | A | $4.75 | 301,187 | D | |||
COMMON STOCK | 06/02/2015 | F | 26,586(2) | D | $13.96(3) | 275,231 | D | |||
COMMON STOCK | 06/02/2015 | S | 78,153 | D | $13.96(4) | 197,078 | D | |||
COMMON STOCK | 06/03/2015 | M | 71,847(5) | A | $4.75 | 268,925 | D | |||
COMMON STOCK | 06/03/2015 | F | 24,167(6) | D | $14.12(3) | 244,758 | D | |||
COMMON STOCK | 06/03/2015 | S | 71,847 | D | $14.12(7) | 172,911 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option | $4.75 | 06/02/2015 | M | 78,153 | (8) | 09/01/2015 | Common Stock | 78,153 | $0 | 71,847 | D | ||||
Option | $4.75 | 06/03/2015 | M | 71,847 | (8) | 09/01/2015 | Common Stock | 71,847 | $0 | 0 | D | ||||
Option | $4.25 | (8) | 01/01/2017 | Common Stock | 125,000 | 125,000 | D | ||||||||
Option | $4.75 | (8) | 01/01/2016 | Common Stock | 17,969 | 17,969 | D | ||||||||
Option | $5 | (8) | 05/01/2016 | Common Stock | 8,223 | 8,223 | D | ||||||||
Option | $5 | (8) | 01/01/2017 | Common Stock | 30,625 | 30,625 | D | ||||||||
Option | $5 | (8) | 02/01/2018 | Common Stock | 23,750 | 30,625 | D | ||||||||
Option | $5 | (8) | 11/01/2018 | Common Stock | 150,000 | 150,000 | D | ||||||||
Option | $5 | (8) | 02/01/2019 | Common Stock | 33,750 | 33,750 | D | ||||||||
Option | $5 | (8) | 02/01/2020 | Common Stock | 53,125 | 53,125 | D | ||||||||
Option | $5 | (8) | 02/01/2020 | Common Stock | 50,625 | 50,625 | D | ||||||||
Option | $5 | (8) | 03/01/2021 | Common Stock | 41,563 | 41,563 | D | ||||||||
Option | $5 | (8) | 03/01/2022 | Common Stock | 29,063 | 29,063 | D | ||||||||
Option | $5 | (8) | 04/01/2024 | Common Stock | 11,719 | 11,719 | D |
Explanation of Responses: |
1. Dr. Greenberg exercised 78,153 vested options reported as Option(C) on Form 3 filed with the SEC on November 18, 2014. |
2. Dr. Greenberg tendered 26,586 shares of common stock to the Company in accordance with Rule 16b-3. |
3. The fair market value on the day of the exercise. |
4. The price reported in Column 4 is a weighted average sales price. These shares were sold in multiple transactions at prices ranging from $13.56 to $14.35, inclusive. The broker remitted $277,224 to the Company to cover withholding obligations. The reporting person undertakes to provide to the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote. These transactions were effected pursuant to planned sales under lock-up agreement entered into at the time of EYES IPO in November 2014, as approved by Board of EYES and the IPO underwriter and as further disclosed in the Company's final prospectus dated November 20, 2014. |
5. Dr. Greenberg exercised 71,847 vested options reported as Option(C) on Form 3 filed with the SEC on November 18, 2014. |
6. Dr. Greenberg tendered 24,167 shares of common stock to the Company in accordance with Rule 16b-3. |
7. The price reported in Column 4 is a weighted average sales price. These shares were sold in multiple transactions at prices ranging from $13.50 to $14.64, inclusive. The broker remitted $351,333 to the Company to cover withholding obligations. The reporting person undertakes to provide to the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote. These transactions were effected pursuant to planned sales under lock-up agreement entered into at the time of EYES IPO in November 2014, as approved by Board of EYES and the IPO underwriter and as further disclosed in the Company's final prospectus dated November 20, 2014. |
8. These are vested employee options currently exercisable. |
Remarks: |
Excludes unvested employee options covering 490,752 shares, not exercisable for over 60 days from this date. Sales were automatically effected pursuant to 10b5-1 trading plan and trades reported on this Form 4 constitute the final trades pursuant to this 10b5-1 plan adopted by the reporting person. |
/s/ Robert J. Greenberg | 06/04/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |