0001181431-13-015182.txt : 20130306 0001181431-13-015182.hdr.sgml : 20130306 20130306215704 ACCESSION NUMBER: 0001181431-13-015182 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130304 FILED AS OF DATE: 20130306 DATE AS OF CHANGE: 20130306 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: 13671445 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 rrd373273.xml R HUGHES ANNUAL GRANT X0306 4 2013-03-04 0 0000718937 STAAR SURGICAL CO STAA 0001406086 Hughes Robin 1911 WALKER AVE MONROVIA CA 91016 0 1 0 0 Vice President, Marketing Common Stock 2013-03-04 4 A 0 7500 0 A 71000 D Common Stock Options 5.34 2013-03-04 4 A 0 20000 0 A 2023-03-04 Common Stock 20000 20000 D Consists of 7,500 Performance Accelerated Restricted Shares of Common Stock (PARS), subject to forfeiture rights, which lapse as to all the PARS on 3/4/16, 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. Includes 22,500 PARS. The options first become exercisable as follows: 6,667 shares on 3/4/14, 6,666 shares on 3/4/15 and 6,666 shares on 3/4/16. /s/Samuel Gesten as Attorney-in-Fact for Robin Hughes 2013-03-06