Statement of Changes in Beneficial Ownership (4)
December 06 2016 - 5:38PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Williams Gregg
|
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)
__
X
__ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
|
(Last)
(First)
(Middle)
12744 SAN FERNANDO ROAD,, SUITE 400
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/2/2016
|
(Street)
SYLMAR, CA 91342
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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
|
12/2/2016
|
|
J
(1)
|
|
32156
(1)
|
A
|
$1.89
(2)
|
8565127
|
I
|
Footnote
(3)
|
COMMON STOCK
|
|
|
|
|
|
|
|
16786
(4)
|
D
|
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. 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
|
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 of Derivative Security: 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
|
WARRANT
|
$5.00
|
|
|
|
|
|
|
7/31/2012
|
7/31/2017
|
COMMON STOCK
|
214921
|
|
214921
|
I
|
Footnote
(3)
|
WARRANT
|
$5.00
|
|
|
|
|
|
|
2/23/2013
|
2/28/2018
|
COMMON STOCK
|
240000
|
|
240000
|
I
|
Footnote
(3)
|
Explanation of Responses:
|
(
1)
|
32,156 shares of common stock issuable to Williams International Co. LLC upon trigger of Long Term Investor Rights (LTIRs) as described in the Company's final prospectus dated November 20, 2014.
|
(
2)
|
The closing price of the Company's shares on December 2, 2016, the date on which independent CPA firm determined number of shares issuable on trigger of LTIRs.
|
(
3)
|
Of which (i) Gregg Williams 2006 Trust, whose trustee and principal beneficiary is Mr. Williams, owns 2,722,791 shares, (ii) Williams International Co. LLC, whose manager is Mr. Williams, owns 1,484,254 shares and warrants to purchase 240,000 shares, and (iii) Sam Williams Family Investments LLC, whose manager is Mr. Williams, owns 4,358,082 shares and warrants to purchase 214,921 shares.
|
(
4)
|
Gives effect to 5,439 shares received by Mr. Williams for his services as member of the Board of the Company and transferred of record to Gregg Williams 2006 Trust.
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
Williams Gregg
12744 SAN FERNANDO ROAD,
SUITE 400
SYLMAR, CA 91342
|
X
|
X
|
|
|
Signatures
|
/s/ Gregg Williams
|
|
12/5/2016
|
**
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 control number.
|
Second Sight Medical Pro... (NASDAQ:EYES)
Historical Stock Chart
From Mar 2024 to Apr 2024
Second Sight Medical Pro... (NASDAQ:EYES)
Historical Stock Chart
From Apr 2023 to Apr 2024