Presbia PLC
Presbia PLC (Form: 4, Received: 04/14/2017 16:03:24)
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
                                                                                  
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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 *

LOSHITZER ZOHAR
2. Issuer Name and Ticker or Trading Symbol

Presbia PLC [ LENS ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
_____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle)

C/O PRESBIA PLC, 120/121 BAGGOT STREET LOWER
3. Date of Earliest Transaction (MM/DD/YYYY)

3/8/2017
(Street)

DUBLIN, L2 2
(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
Ordinary Shares   3/13/2017     A    12738   (1) A $0   378960   D    
Ordinary Shares   3/8/2017     X    502   (2) A $3   2002   I   By Zohar Loshitzer Revocable Trust   (4)
Ordinary Shares   3/8/2017     X    670   (3) A $3   2670   I   By Dorothea Segal Loshitzer custodian for Oliver Loshitzer UTMA of California   (4)
Ordinary Shares   3/8/2017     X    670   (5) A $3.00   2670   I   By Dorothea Segal Loshitzer custodian for Daniel Loshitzer UTMA of California   (4)

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
Subscription Rights (Right to Buy)   $3   3/8/2017     X      1498   (6)      2/6/2017   3/8/2017   Ordinary Shares   502   $0   0   I   By Zohar Loshitzer Revocable Trust   (4)
Subscription Rights (Right to Buy)   $3   3/8/2017     X      1999   (6)      2/6/2017   3/8/2017   Ordinary Shares   670   $0   0   I   By Dorothea Segal Loshitzer custodian for Oliver Loshitzer UTMA of California   (4)
Subscription Rights (Right to Buy)   $3.00   3/8/2017     X      1999   (6)      2/6/2017   3/8/2017   Ordinary Shares   670   $0   0   I   By Dorothea Segal Loshitzer custodian for Daniel Loshitzer UTMA of California   (4)

Explanation of Responses:
(1)  On March 13, 2017, the Reporting Person was granted 12,738 restricted ordinary shares, which vest on March 13, 2018.
(2)  On March 8, 2017, the Zohar Loshitzer Revocable Trust delivered to the Issuer an irrevocable notice of exercise of its subscription rights to purchase 502 Ordinary Shares, together with payment of the requisite fee, pursuant to the rights offering set forth in the Prospectus filed pursuant to Rule 424(b)(4), filed with the SEC on January 27, 2017, as amended February 23, 2017.
(3)  On March 8, 2017, Dorothea Segal Loshitzer custodian for Oliver Loshitzer UTMA of California delivered to the Issuer an irrevocable notice of exercise of her subscription rights to purchase 670 Ordinary Shares, together with payment of the requisite fee, pursuant to the rights offering set forth in the Prospectus filed pursuant to Rule 424(b)(4), filed with the SEC on January 27, 2017, as amended February 23, 2017.
(4)  The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
(5)  On March 8, 2017, Dorothea Segal Loshitzer custodian for Daniel Loshitzer UTMA of California delivered to the Issuer an irrevocable notice of exercise of her subscription rights to purchase 670 Ordinary Shares, together with payment of the requisite fee, pursuant to the rights offering set forth in the Prospectus filed pursuant to Rule 424(b)(4), filed with the SEC on January 27, 2017, as amended February 23, 2017.
(6)  Each subscription right entitled its holder to purchase 0.335297256 Ordinary Shares at a subscription price of $3.00 per whole Ordinary Share.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
LOSHITZER ZOHAR
C/O PRESBIA PLC
120/121 BAGGOT STREET LOWER
DUBLIN, L2 2
X



Signatures
/s/ Zohar Loshitzer 4/13/2017
** 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).
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