0001181431-11-046378.txt : 20110819
0001181431-11-046378.hdr.sgml : 20110819
20110819203400
ACCESSION NUMBER: 0001181431-11-046378
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110818
FILED AS OF DATE: 20110819
DATE AS OF CHANGE: 20110819
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOODMEN WILLIAM WALTER
CENTRAL INDEX KEY: 0001260270
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 111048440
MAIL ADDRESS:
STREET 1: 29095 WAGON RD
CITY: AGOURA HILLS
STATE: CA
ZIP: 91301
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
rrd320364.xml
FORM 4 B GOODMEN
X0304
4
2011-08-18
0
0000718937
STAAR SURGICAL CO
STAA
0001260270
GOODMEN WILLIAM WALTER
1911 WALKER AVE
MONROVIA
CA
91016
0
1
0
0
Global VP, Human Resources
Common Stock
2011-08-18
4
M
0
12666
4.69
A
21166
D
Common Stock
2011-08-18
4
S
0
12666
6.70
D
8500
D
Common Stock
2011-08-19
4
M
0
4000
4.69
A
12500
D
Common Stock
2011-08-19
4
S
0
4000
6.75
D
8500
D
Common Stock Options
4.69
2011-08-18
4
M
0
12666
0
D
2020-08-15
Common Stock
16666
37334
D
Common Stock Options
4.69
2011-08-19
4
M
0
4000
0
D
2020-08-15
Common Stock
4000
33334
D
Includes (i) 1,000 restricted shares of common stock, subject to forfeiture and vesting in a single installment on March 2, 2012, and (ii) 7,500 Performance Accelerated Restricted Shares of Common Stock, 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.
The 50,000 options originally granted first become exercisable as follows: 16,666 shares on 8/16/11, 16,667 shares on 8/16/12 and 16,667 shares on 8/16/13.
This Statement on Form 4 reports Mr. Goodmen's exercise of options to purchase an aggregate of 16,666 shares of STAAR Surgical Company commmon stock and sale of the purchased shares on August 18 and 19, 2011.
/s/Charles Kaufman as Attorney-in-Fact
2011-08-19