SEC Form 4 · accession 0001615774-15-003555

Vivani Medical, Inc. · VANI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — VP of Manufacturing

Period of report

Dec 1, 2015

Accepted (ET)

Dec 3, 2015 · 3:41 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001266806

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Nov 30, 2015	A	1,754	$4.301	A	1,754	D
Common Stock^F1	Dec 1, 2015	A	1,754	$4.884	D	0	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Aug 1, 2008	Aug 1, 2017	Common Stock	50,000	50,000	D
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Feb 1, 2009	Feb 1, 2018	Common Stock	2,290	2,290	D
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Nov 1, 2009	Nov 1, 2018	Common Stock	25,000	25,000	D
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Feb 1, 2010	Feb 1, 2019	Common Stock	6,750	6,750	D
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Feb 1, 2011	Feb 1, 2020	Common Stock	20,750	20,750	D
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Mar 1, 2012	Mar 1, 2021	Common Stock	8,313	8,313	D
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Mar 1, 2013	Mar 1, 2022	Common Stock	7,750	7,750	D
Non-Qualified Stock Option (right to buy)^F2	$5.00	holding	—	—	—	Apr 1, 2015	Apr 1, 2024	Common Stock	10,937	10,937	D
Non-Qualified Stock Option (right to buy)^F2	$9.00	holding	—	—	—	Sep 26, 2015	Sep 26, 2024	Common Stock	65,895	65,895	D
Non-Qualified Stock Option (right to buy)^F2	$13.09	holding	—	—	—	Mar 25, 2016	Mar 25, 2025	Common Stock	6,250	6,250	D