0001181431-11-015819.txt : 20110304
0001181431-11-015819.hdr.sgml : 20110304
20110304180026
ACCESSION NUMBER: 0001181431-11-015819
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110302
FILED AS OF DATE: 20110304
DATE AS OF CHANGE: 20110304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kaufman Charles S
CENTRAL INDEX KEY: 0001325699
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 11666027
MAIL ADDRESS:
STREET 1: 1911 WALKER AVE
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
rrd304110.xml
RESTRICTED SHARE GRANT 3-2-11
X0303
4
2011-03-02
0
0000718937
STAAR SURGICAL CO
STAA
0001325699
Kaufman Charles S
1911 WALKER AVENUE
MONROVIA
CA
91016
0
1
0
0
V.P. , General Counsel
Common Stock
2011-03-02
4
A
0
3000
0
A
121000
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, 5,000 restricted shares vesting on March 5, 2011, and options to purchase 90,000 shares of Common Stock exercisable on or before June 2, 2011.
/s/Charles Kaufman
2011-03-04