SEC Form 4 · accession 0001615774-17-002949
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 1, 2017
Accepted (ET)
Jun 5, 2017 · 9:25 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,F3 | Jun 1, 2017 | A | 56,314 | $1.172 | A | 19,440,948 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant to Purchase CommonF3 | $5.00 | holding | — | — | — | Jul 31, 2012 | Jul 31, 2017 | COMMON STOCK | 263,078 | 263,078 | I |
| Warrant to Purchase CommonF3 | $5.00 | holding | — | — | — | Feb 23, 2013 | Feb 28, 2018 | COMMON STOCK | 408,548 | 408,548 | I |
| Warrant to Purchase CommonF3 | $1.47 | holding | — | — | — | Mar 13, 2017 | Mar 13, 2022 | COMMON STOCK | 6,802,721 | 6,802,721 | I |
Explanation of responses
- F1Awarded to Mr. Williams as compensation for serving on the Board of Directors and its committees.
- F2Price per share constitutes an average closing price of Company's stock for the preceding twenty trading days on its principal exchange.
- F3Of which (i) Gregg Williams 2006 Trust, owns 13,581,826 shares and warrants to purchase 7,019,426 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.
Remarks
* Power-of-Attorney attached as exhibit