0001181431-11-028939.txt : 20110511
0001181431-11-028939.hdr.sgml : 20110511
20110511182942
ACCESSION NUMBER: 0001181431-11-028939
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110509
FILED AS OF DATE: 20110511
DATE AS OF CHANGE: 20110511
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moore John C
CENTRAL INDEX KEY: 0001426569
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 11833276
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
rrd311231.xml
J MOORE FORM 4
X0303
4
2011-05-09
0
0000718937
STAAR SURGICAL CO
STAA
0001426569
Moore John C
1911 WALKER AVE
MONROVIA
CA
91016
1
0
0
0
Common Stock
2011-05-09
4
P
0
5000
5.4283
A
10000
I
By Trust
Common Stock
67500
D
The shares are held by The Moore Family Trust, John C.and Madeline M. Moore, trustees.
Comprises 67,500 shares of common stock purchasable pursuant to options currently exercisable or exercisable within 60 days of the date of this report.
/s/Charles Kaufman, attorney-in-fact
2011-05-11