0001181431-12-023304.txt : 20120410
0001181431-12-023304.hdr.sgml : 20120410
20120410144151
ACCESSION NUMBER: 0001181431-12-023304
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120405
FILED AS OF DATE: 20120410
DATE AS OF CHANGE: 20120410
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gesten Samuel J
CENTRAL INDEX KEY: 0001496615
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 12751754
MAIL ADDRESS:
STREET 1: 2525 DUPONT DRIVE
CITY: IRVINE
STATE: CA
ZIP: 92612
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
3
1
rrd341881.xml
FORM 3 - GESTEN
X0205
3
2012-04-05
0
0000718937
STAAR SURGICAL CO
STAA
0001496615
Gesten Samuel J
1911 WALKER AVENUE
MONROVIA
CA
91016
0
1
0
0
VP, General Counsel
Common Stock
27500
D
Common Stock Options
11.02
2022-04-01
Common Stock
50000
D
Consists of (i) 20,000 restricted shares of common stock, subject to forfeiture rights, which lapse as to 1/3 of the shares each year on the anniversary of grant date, and (ii) 7,500 Performance Accelerated Restricted Shares of Common Stock (PARS), subject to forfeiture rights, which lapse as to all the PARS on 4/2/15, but subject to accelerated lapse of the forfeiture rights as to 1/3 of the shares each year pursuant to achievement of certain performance criteria.
16,666 options will vest 4/2/13, 16,667 options will vest on 4/2/14, and the remaining 16,667 shares will vest on 4/2/15.
Mr. Gesten assumed the General Counsel role as of 4/5/12 and this form reports his holdings as of that date.
Samuel J. Gesten
2012-04-10