Sec Form 3 Filing - Dorn Jessy Dana @ SECOND SIGHT MEDICAL PRODUCTS INC - 2019-09-25

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Dorn Jessy Dana
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)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
VP-Clin & Scientific Affairs
(Last) (First) (Middle)
12744 SAN FERNANDO ROAD, SUITE 400
3. Date of Earliest Transaction (MM/DD/YY)
09/25/2019
(Street)
SYLMAR, CA91342
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 1,458 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Non-Qualified Stock Option(right to buy) $ 5 02/01/2011( 1 ) 02/01/2020 Common Stock 405 D
Non-Qualified Stock Option(right to buy) $ 5 06/01/2011( 1 ) 06/01/2020 Common Stock 1,000 D
Non-Qualified Stock Option(right to buy) $ 5 04/01/2015( 1 ) 04/01/2024 Common Stock 5,250 D
Non-Qualified Stock Option(right to buy) $ 13.09 03/25/2016( 1 ) 03/25/2025 Common Stock 3,750 D
Non-Qualified Stock Option(right to buy) $ 12.46 05/15/2016( 2 ) 05/15/2025 Common Stock 20,000 D
Non-Qualified Stock Option(right to buy) $ 4.18 01/14/2017( 2 ) 01/14/2026 Common Stock 15,000 D
Non-Qualified Stock Option(right to buy) $ 4.1 01/21/2017( 2 ) 01/21/2026 Common Stock 9,210 D
Non-Qualified Stock Option(right to buy) $ 1.73 01/18/2018( 2 ) 01/18/2027 Common Stock 20,000 D
Non-Qualified Stock Option(right to buy) $ 2.01 01/02/2019( 2 ) 01/02/2028 Common Stock 20,000 D
Non-Qualified Stock Option(right to buy) $ 0.815 02/23/2019( 3 ) 01/23/2029 Common Stock 32,800 D
Non-Qualified Stock Option(right to buy) $ 0.7088 07/04/2019( 3 ) 06/04/2029 Common Stock 75,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Dorn Jessy Dana
12744 SAN FERNANDO ROAD
SUITE 400
SYLMAR, CA91342
VP-Clin & Scientific Affairs
Signatures
/s/ John T. Blake, Attorney-in-fact 10/02/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The stock options have a 10-year term and vest over five years from the grant date in equal annual installments, subject to continuous employment, such that the total number shall be fully vested on the five-year anniversary of the transaction date.
( 2 )The stock options have a 10-year term and vest 25% on the first anniversary and then in equal quarterly installments, subject to continuous employment, such that the total number shall be fully vested on the four-year anniversary of the transaction date.
( 3 )The stock options have a 10-year term and vest over four years from the grant date in equal monthly installments, subject to continuous employment, such that the total number shall be fully vested on the four-year anniversary of the transaction date.

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