0001181431-15-003961.txt : 20150304 0001181431-15-003961.hdr.sgml : 20150304 20150304171043 ACCESSION NUMBER: 0001181431-15-003961 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150303 FILED AS OF DATE: 20150304 DATE AS OF CHANGE: 20150304 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: Mason Caren L CENTRAL INDEX KEY: 0001301366 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 15674302 MAIL ADDRESS: STREET 1: 2523 PARK RIDGE DRIVE CITY: ESCONDIDO STATE: CA ZIP: 92025 4 1 rrd423232.xml C. MASON CEO APPOINTMENT GRANT 2015 X0306 4 2015-03-03 0 0000718937 STAAR SURGICAL CO STAA 0001301366 Mason Caren L 1911 WALKER AVE MONROVIA CA 91016 1 1 0 0 Chief Executive Officer Common Stock Options 7.76 2015-03-03 4 A 0 400000 0 A 2016-03-03 2025-03-02 Common Stock 400000 400000 D As part of Ms. Mason's appointment as Chief Executive Officer, STAAR granted her 400,000 options to purchase common stock, effective March 3, 2015. /s/Samuel Gesten as Attorney-in-Fact for Caren Mason 2015-03-04