0001209191-16-111724.txt : 20160401 0001209191-16-111724.hdr.sgml : 20160401 20160401170912 ACCESSION NUMBER: 0001209191-16-111724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160318 FILED AS OF DATE: 20160401 DATE AS OF CHANGE: 20160401 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: 161548059 MAIL ADDRESS: STREET 1: 2523 PARK RIDGE DRIVE CITY: ESCONDIDO STATE: CA ZIP: 92025 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-18 0 0000718937 STAAR SURGICAL CO STAA 0001301366 Mason Caren L 1911 WALKER AVE MONROVIA CA 91016 1 1 0 0 President & CEO Common Stock 2016-03-18 4 A 0 50000 0.00 A 64500 D Common Stock Options 7.52 2016-03-18 4 A 0 100000 0.00 A 2017-03-18 2026-03-17 Common Stock 100000 100000 D Award of 50,000 Restricted Stock Units of Common Stock (RSU), subject to forfeiture rights, which lapse as to 1/3 of the RSUs on 3/18/17, 1/3 of the RSUs on 3/18/18, and 1/3 of the RSUs on 3/18/19. The options granted become exercisable as follows: 1/3 on 3/18/2017 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. /s/ Samuel Gesten as attorney-in-fact for Caren Mason 2016-04-01