0001181431-11-015815.txt : 20110304
0001181431-11-015815.hdr.sgml : 20110304
20110304175804
ACCESSION NUMBER: 0001181431-11-015815
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110302
FILED AS OF DATE: 20110304
DATE AS OF CHANGE: 20110304
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FAGEN DONALD L
CENTRAL INDEX KEY: 0001206975
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 11666018
MAIL ADDRESS:
STREET 1: 3400 CENTRAL AVENUE
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
4
1
rrd304118.xml
RESTRICTED SHARE GRANT 3-2-11
X0303
4
2011-03-02
0
0000718937
STAAR SURGICAL CO
STAA
0001206975
FAGEN DONALD L
1911 WALKER AVE
MONROVIA
CA
91016
0
1
0
0
V.P. Sales for N. America
Common Stock
2011-03-02
4
A
0
3000
0
A
19666
D
Restricted shares of Common Stock, subject to forfeiture and vesting in a single installment on March 2, 2012.
Includes 3,000 restricted shares vesting on March 2, 2012, and options to purchase 16,666 shares of Common Stock exercisable on or before June 2, 2011.
/s/Charles Kaufman as attorney-in-fact for Donald L. Fagen
2011-03-04