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