0001181431-11-029439.txt : 20110512
0001181431-11-029439.hdr.sgml : 20110512
20110512192201
ACCESSION NUMBER: 0001181431-11-029439
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110510
FILED AS OF DATE: 20110512
DATE AS OF CHANGE: 20110512
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: 11837343
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
rrd311527.xml
J MOORE FORM 4
X0303
4
2011-05-10
0
0000718937
STAAR SURGICAL CO
STAA
0001426569
Moore John C
1911 WALKER AVE
MONROVIA
CA
91016
1
0
0
0
Common Stock
2011-05-10
4
M
0
20000
2.91
A
67500
D
Common Stock
10000
I
By Trust
Common Stock Options
2.91
2011-05-10
4
M
0
20000
0
D
2009-05-15
2018-05-14
Common Stock
20000
0
D
Includes 47,500 shares of common stock purchasable pursuant to options currently exercisable or exercisable within 60 days of the date of this report.
The shares are held by The Moore Family Trust, John C.and Madeline M. Moore, trustees.
/s/Charles Kaufman, attorney-in-fact
2011-05-12