0001181431-11-058457.txt : 20111202
0001181431-11-058457.hdr.sgml : 20111202
20111202161333
ACCESSION NUMBER: 0001181431-11-058457
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111201
FILED AS OF DATE: 20111202
DATE AS OF CHANGE: 20111202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MORRISON DAVID R
CENTRAL INDEX KEY: 0001236544
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 111240527
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
rrd327121.xml
D MORRISON FORM 4
X0304
4
2011-12-01
0
0000718937
STAAR SURGICAL CO
STAA
0001236544
MORRISON DAVID R
1911 WALKER AVENUE
MONROVIA
CA
91016
1
0
0
0
Common Stock
2011-12-01
4
S
0
20000
9.80
D
40000
D
Following the reported transactions, Mr. Morrison's total beneficial ownership (as defined in Rule 13d-3 under the Exchange Act) is 180,000 shares of Common Stock, which includes 140,000 vested stock options. He also holds 20,000 unvested stock options.
/s/ Deborah Andrews as attorney-in-fact for David R. Morrison
2011-12-02