0001181431-11-036403.txt : 20110613 0001181431-11-036403.hdr.sgml : 20110613 20110613200241 ACCESSION NUMBER: 0001181431-11-036403 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110609 FILED AS OF DATE: 20110613 DATE AS OF CHANGE: 20110613 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: 11909272 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 rrd315156.xml SALE 6-9-11 X0303 4 2011-06-09 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 2011-06-09 4 S 0 100 5.40 D 128400 D Common Stock 2011-06-09 4 S 0 2900 5.23 D 125500 D Includes 7,500 Peformance Accelerated Restricted Shares subject to forfeiture and vesting on March 15, 2014, 3,000 restricted shares subject to forfeiture and vesting on March 2, 2012 and options to purchase 90,000 shares of Common Stock exercisable on or before August 12, 2011. /s/Charles Kaufman 2011-06-13