0001181431-12-028860.txt : 20120509 0001181431-12-028860.hdr.sgml : 20120509 20120509182003 ACCESSION NUMBER: 0001181431-12-028860 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20120509 FILED AS OF DATE: 20120509 DATE AS OF CHANGE: 20120509 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: 12827150 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 rrd344694.xml FORM 4 B GOODMEN X0305 4 2012-05-09 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 2012-05-09 4 M 0 6666 5.49 A 22266 D Common Stock 2012-05-09 4 S 0 5815 10.29 D 16451 D Common Stock 2012-05-09 4 S 0 147 10.31 D 16304 D Common Stock 2012-05-09 4 S 0 400 10.32 D 15904 D Common Stock 2012-05-09 4 S 0 200 10.33 D 15704 D Common Stock 2012-05-09 4 S 0 104 10.34 D 15600 D Common Stock Options 5.49 2012-05-09 4 M 0 6666 0 D 2021-03-14 Common Stock 6666 13334 D Includes (i) 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; and (ii) 7,500 Performance Accelerated Restricted Shares of Common Stock, subject to forfeiture and vesting in a single installment on March 2, 2015, but subject to accelerated vesting as to 1/3 of the shares each year pursuant to achievement of certain performance criteria; . The 20,000 options originally granted first become exercisable as follows: 6,666 shares on 3/15/12, 6,667 shares on 3/15/13 and 6,667 shares on 3/15/14. This Statement on Form 4 reports Mr. Goodmen's exercise of options to purchase an aggregate of 6,666 shares of STAAR Surgical Company commmon stock and sale of the purchased shares on May 9, 2012. /s/Samuel Gesten as Attorney-in-Fact 2012-05-09 EX-24. 2 rrd309164_349055.htm POWER OF ATTORNEY rrd309164_349055.html 
                             POWER OF ATTORNEY

       Know all by these presents, that the undersigned hereby constitutes and appoints each of
Deborah Andrews and Samuel Gesten, signing singly, as the undersigned's true and lawful attorney-
in-fact to do any or all of the following:

(a)	execute for and on behalf of the undersigned, in the undersigned's capacity as an officer
or director of STAAR Surgical Company (the "Company"), Forms 3, 4 and 5 in
accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules
thereunder;

(b)	do and perform any and all acts for and on behalf of the undersigned that may be
necessary or desirable to complete and execute any such Form 3, 4 or 5, complete and
execute any amendment or amendments thereto, and file such form with the United
States Securities and Exchange Commission and any stock exchange or similar
authority; and
(c)	take any other action of any type whatsoever in connection with the foregoing which,

in the opinion of the attorney-in-fact, may be of benefit to, in the interest of, or legally
required by, the undersigned, it being understood that the documents executed by such
attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall
be in such form and shall contain such terms and conditions as such attorney-in-fact
may approve in such attorney-in-fact's discretion.

       The undersigned hereby grants to each attorney-in-fact full power and authority to do and
perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the
exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and
powers herein granted.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving
in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming,
any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of
1934.

       This Power of Attorney shall remain in full force and effect until the undersigned is no longer
required to file Forms 3, 4 and 5 (or such forms as may in the future be substituted therefore under
Section 16 of the Securities Exchange Act) with respect to the undersigned's holdings of and
transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed
writing delivered to the foregoing attorneys-in-fact.

       IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as
of this 9th day May, 2012.

                                /s/William Goodmen
                                 Signature
                                Wiliam Goodmen