-----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, EwiYyKc9SrfLfkHk12YGa0XU4iMn7gBQHnjilrSM958AD/g+0XWwJgIVaq4/JSJW r2ku50bdPYpt7CIxPMxj7w== 0001181431-05-021535.txt : 20050411 0001181431-05-021535.hdr.sgml : 20050411 20050411131445 ACCESSION NUMBER: 0001181431-05-021535 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050407 FILED AS OF DATE: 20050411 DATE AS OF CHANGE: 20050411 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAUL THOMAS R CENTRAL INDEX KEY: 0001276481 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 05743522 BUSINESS ADDRESS: STREET 1: 1914 STONESGATE STREET CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91361 BUSINESS PHONE: 8054960455 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STAAR SURGICAL CO 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: 6263037902 MAIL ADDRESS: STREET 1: 1911 WALKER AVE CITY: MONROVIA STATE: CA ZIP: 91016 FORMER COMPANY: FORMER CONFORMED NAME: STAAR SURGICAL COMPANY DATE OF NAME CHANGE: 19920703 4 1 rrd75246.xml FORM 4 04/07/2005 X0202 4 2005-04-07 0 0000718937 STAAR SURGICAL CO STAA 0001276481 PAUL THOMAS R 1911 WALKER AVENUE MONROVIA CA 91016 0 1 0 0 Vice President - R & D Common Stock Options 3.95 2005-04-07 4 A 0 16666 3.95 A 2006-04-07 2015-04-06 Common Stock 16666 0 D Common Stock Options 3.95 2005-04-07 4 A 0 16667 3.95 A 2007-04-07 2015-04-06 Common Stock 16667 0 D Common Stock Options 3.95 2005-04-07 4 A 0 16667 3.95 A 2008-04-07 2015-04-06 Common Stock 16667 0 D Common Stock Options 10.99 2004-11-28 2008-11-27 Common Stock 16666 16666 D Common Stock Options 10.99 2005-11-28 2008-11-27 Common Stock 16667 0 D Common Stock Options 10.99 2006-11-28 2008-11-27 Cpmmon Stock 16667 0 D Deborah Andrews as Power of Attorney for Thomas Paul 2005-04-08 -----END PRIVACY-ENHANCED MESSAGE-----