0001181431-11-054615.txt : 20111103
0001181431-11-054615.hdr.sgml : 20111103
20111103180248
ACCESSION NUMBER: 0001181431-11-054615
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111102
FILED AS OF DATE: 20111103
DATE AS OF CHANGE: 20111103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hughes Robin
CENTRAL INDEX KEY: 0001406086
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 111178797
MAIL ADDRESS:
STREET 1: 1911 WALKER AVENUE
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
rrd324940.xml
R HUGHES FORM 4
X0304
4
2011-11-02
0
0000718937
STAAR SURGICAL CO
STAA
0001406086
Hughes Robin
1911 WALKER AVE
MONROVIA
CA
91016
0
1
0
0
Vice President, Marketing
Common Stock
2011-11-02
4
S
0
1100
09.08
D
76900
D
Common Stock
2011-11-02
4
S
0
100
9.0802
D
76800
D
Common Stock
2011-11-02
4
S
0
100
9.085
D
76700
D
Common Stock
2011-11-02
4
S
0
3100
9.09
D
73600
D
Common Stock
2011-11-02
4
S
0
200
9.0975
D
73400
D
Common Stock
2011-11-02
4
S
0
829
9.1
D
72571
D
Common Stock
2011-11-02
4
S
0
500
9.11
D
72071
D
Common Stock
2011-11-02
4
S
0
1200
9.1101
D
70871
D
Common Stock
2011-11-02
4
S
0
100
9.115
D
70771
D
Common Stock
2011-11-02
4
S
0
3700
9.12
D
67071
D
Common Stock
2011-11-02
4
S
0
900
9.13
D
66171
D
Common Stock
2011-11-02
4
S
0
200
9.135
D
65971
D
Common Stock
2011-11-02
4
S
0
2500
9.14
D
63471
D
Common Stock
2011-11-02
4
S
0
800
9.15
D
62671
D
Common Stock
2011-11-02
4
S
0
500
9.1501
D
62171
D
Common Stock
2011-11-02
4
S
0
3102
9.16
D
59069
D
Common Stock
2011-11-02
4
S
0
269
9.1601
D
58800
D
Common Stock
2011-11-02
4
S
0
100
9.1603
D
58700
D
Common Stock
2011-11-02
4
S
0
200
9.165
D
58500
D
Common Stock
2011-11-02
4
S
0
500
9.17
D
58000
D
Following the reported transactions Mr. Hughes' total beneficial ownership (as defined in Rule 13d-3 under the Exchange Act) is 135,499 shares of Common Stock, which includes 69,999 stock options that have vested or will vest within 60 days of this report, 5,000 Restricted Shares and 7,500 Performance Accelerated Restricted Shares ("PARS") (Restricted Shares and PARS are subject to forfeiture). Mr. Hughes also holds 40,001 unvested stock options.
This Statement on Form 4 reports Mr. Hughes' sale of 20,000 shares of STAAR Surgical Company Common Stock on November 2, 2011.
/s/ Charles Kaufman as Attorney-in-Fact for Robin Hughes
2011-11-03