-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, BI0+NggJm6YjHtddvo8EYTMRCfyzIGfG+9BMu+wHrf4Wecxtd0ZRYmz9PWSx5nAi G8EygRQ2AQXy7q4VjQPIfg== 0001181431-04-028811.txt : 20040602 0001181431-04-028811.hdr.sgml : 20040602 20040602110633 ACCESSION NUMBER: 0001181431-04-028811 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040528 FILED AS OF DATE: 20040602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GILBERT JOHN R CENTRAL INDEX KEY: 0001230270 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 04843193 MAIL ADDRESS: STREET 1: PO BOX 770-147 CITY: PARK CITY STATE: UT ZIP: 84060 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STAAR SURGICAL COMPANY CENTRAL INDEX KEY: 0000718937 STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851] IRS NUMBER: 953797439 STATE OF INCORPORATION: DE FISCAL YEAR END: 0101 BUSINESS ADDRESS: STREET 1: 1911 WALKER AVE CITY: MONROVIA STATE: CA ZIP: 91016 BUSINESS PHONE: 8183037902 MAIL ADDRESS: STREET 1: 1911 WALKER AVE CITY: MONROVIA STATE: CA ZIP: 91016 4 1 rrd44379.xml X0202 4 2004-05-28 0 0000718937 STAAR SURGICAL COMPANY STAA 0001230270 GILBERT JOHN R 1911 WALKER AVENUE MONROVIA CA 91016 1 0 0 0 Common Stock Options 3.49 2001-05-25 2006-05-25 Common Stock 20000 20000 D Common Stock Options 3.49 2002-05-25 2006-05-25 Common Xtock 20000 20000 D Common Stock Options 3.49 2003-05-25 2006-05-25 Common Stock 20000 20000 D Common Stock Options 7.32 2004-05-28 2004-05-18 4 A 0 20000 0.00 A 2004-05-18 2014-05-17 Common Stock 20000 20000 D Common Stock Options 7.32 2004-05-28 2004-05-18 4 A 0 20000 0.00 A 2005-05-18 2014-05-17 Common Stock 20000 20000 D Common Stock Options 7.32 2004-05-28 2004-05-18 4 A 0 20000 0.00 A 2006-05-18 2014-05-17 Common Stock 20000 20000 D John Bily as Power of Attorney for John R. Gilbert 2004-06-02 -----END PRIVACY-ENHANCED MESSAGE-----