0001181431-13-048620.txt : 20130911 0001181431-13-048620.hdr.sgml : 20130911 20130911162553 ACCESSION NUMBER: 0001181431-13-048620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130909 FILED AS OF DATE: 20130911 DATE AS OF CHANGE: 20130911 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: 1228 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDREWS DEBORAH J CENTRAL INDEX KEY: 0001325697 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 131091307 MAIL ADDRESS: STREET 1: 1911 WALKER AVE. CITY: MONROVIA STATE: CA ZIP: 91016 4 1 rrd390255.xml D ANDREWS SECTION 16 CHANGE X0306 4 2013-09-09 1 0000718937 STAAR SURGICAL CO STAA 0001325697 ANDREWS DEBORAH J 1911 WALKER AVENUE MONROVIA CA 91016 0 1 0 0 Vice President Filing reflects Ms. Andrews' resignation as Chief Financial Officer. /s/Samuel Gesten as Attorney-in-Fact for Deborah Andrews 2013-09-11