SEC Form 4 · accession 0001615774-16-005841
Vivani Medical, Inc. · VANI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gregg Williams
Director · 10% Owner
Period of report
Jun 8, 2016
Accepted (ET)
Jun 9, 2016 · 7:24 pm EDT
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 STOCKF1,F2 | Jun 8, 2016 | J | 2,717,352 | $3.315 | A | 8,527,532 | I | See footnote |
| COMMON STOCK | holding | — | — | — | 22,225 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WARRANTF2 | $5.00 | holding | — | — | — | Jul 31, 2012 | Jul 31, 2017 | COMMON STOCK | 214,921 | 214,921 | I |
| WARRANTF2 | $5.00 | holding | — | — | — | Feb 23, 2013 | Feb 28, 2018 | COMMON STOCK | 240,000 | 240,000 | I |
Explanation of responses
- F1Gregg Williams 2006 Trust, a trust of which Mr. Williams is trustee, acquired 2,717,352 shares of common stock in the Company's Rights Offering at $3.315 per share as of June 8, 2016, the date on which the number subscribed for in the Rights Offering was confirmed.
- F2Of which (i) Gregg Williams 2006 Trust, owns 2,717,352 shares, (ii) Williams International Co. LLC, whose manager is Mr. Williams, owns 1,452,098 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.