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