0001181431-11-018869.txt : 20110317
0001181431-11-018869.hdr.sgml : 20110317
20110317213417
ACCESSION NUMBER: 0001181431-11-018869
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110315
FILED AS OF DATE: 20110317
DATE AS OF CHANGE: 20110317
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: 11696644
MAIL ADDRESS:
STREET 1: 3400 CENTRAL AVENUE
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
4
1
rrd305932.xml
GRANT 3-15-11
X0303
4
2011-03-15
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
2011-03-15
4
A
0
7500
0
A
27166
D
Common Stock Options
5.49
2011-03-15
4
A
0
20000
0
A
2021-03-14
Common Stock
20000
20000
D
Performance Accelerated Restricted Shares of Common Stock (PARS), subject to forfeiture and vesting in a single installment on March 15, 2014, but subject to accelerated vesting as to 1/3 of the shares each year pursuant to achievement of certain performance criteria.
Includes 7,500 PARS subject to forfeiture and vesting on March 15, 2014, 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.
The options first become exercisable as follows: 6,667 shares on 3/15/12, 6,667 shares on 3/15/13 and 6,666 shares on 3/15/14.
/s/Charles Kaufman as attorney-in-fact for Donald L. Fagen
2011-03-17