0001181431-11-018875.txt : 20110317
0001181431-11-018875.hdr.sgml : 20110317
20110317214210
ACCESSION NUMBER: 0001181431-11-018875
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110315
FILED AS OF DATE: 20110317
DATE AS OF CHANGE: 20110317
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ANDREWS DEBORAH J
CENTRAL INDEX KEY: 0001325697
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 11696650
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
rrd305927.xml
GRANT 3-15-11
X0303
4
2011-03-15
0
0000718937
STAAR SURGICAL CO
STAA
0001325697
ANDREWS DEBORAH J
1911 WALKER AVENUE
MONROVIA
CA
91016
0
1
0
0
VP & Chief Financial Officer
Common Stock
2011-03-15
4
A
0
7500
0
A
246400
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, 4,000 restricted shares vesting on March 2, 2012 and options to purchase 193,000 shares of Common Stock exercisable on or before June 17, 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/ Deborah J. Andrews
2011-03-17