-----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, AmVhRORrZWXc2HM10gj83kemAqRBbGihAMIMbnVKGND0x/+SoEareNREFWoweiar n6L+7+RG+BXD2qB2mK48HQ== 0001181431-10-062649.txt : 20101217 0001181431-10-062649.hdr.sgml : 20101217 20101217212722 ACCESSION NUMBER: 0001181431-10-062649 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101215 FILED AS OF DATE: 20101217 DATE AS OF CHANGE: 20101217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blickensdoerfer Hans-Martin CENTRAL INDEX KEY: 0001488891 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 101261362 MAIL ADDRESS: STREET 1: 1911 WALKER AVENUE CITY: MONROVIA STATE: CA ZIP: 91016 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 rrd294677.xml OPTION GRANT 12/15/2010 X0303 4 2010-12-15 0 0000718937 STAAR SURGICAL CO STAA 0001488891 Blickensdoerfer Hans-Martin 1911 WALKER AVENUE MONROVIA CA 91016 0 1 0 0 VP, International Marketing Common Stock Options 5.86 2010-12-15 4 A 0 25000 0 A 2020-12-14 Common Stock 25000 25000 D The options first become exercisable as follows: 8,333 shares on 12/15/11, 8,333 shares on 12/15/12 and 8,333 shares on 12/15/13. Charles Kaufman as Attorney-in-fact for Hans-Marrtin Blickensdoerfer 2010-12-17 -----END PRIVACY-ENHANCED MESSAGE-----