0001209191-16-129771.txt : 20160627 0001209191-16-129771.hdr.sgml : 20160627 20160627185323 ACCESSION NUMBER: 0001209191-16-129771 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160624 FILED AS OF DATE: 20160627 DATE AS OF CHANGE: 20160627 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: Wall William P CENTRAL INDEX KEY: 0001393025 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 161734409 MAIL ADDRESS: STREET 1: 2 BLUEBERRY HILL ROAD CITY: ANDOVER STATE: MA ZIP: 01810 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-24 0 0000718937 STAAR SURGICAL CO STAA 0001393025 Wall William P 1911 WALKER AVENUE MONROVIA CA 91016 1 0 0 0 Common Stock 2016-06-24 4 A 0 5126 0.00 A 9439 D Common Stock Options 5.54 2016-06-24 4 A 0 10000 0.00 A 2017-06-24 2026-06-23 Common Stock 10000 10000 D Includes restricted shares of common stock awarded on his election to the Board of Directors, which vest in full on June 24, 2017, with vesting generally to accelerate in the event the grantee's service as director ends prior to that date. These 10,000 stock options vest in full on June 24, 2017. On June 24, 2016, STAAR Surgical Company granted Mr. Wall, a non-employee director, 10,000 options to purchase common stock and 5,126 restricted shares of the Company's common stock on his election to the Board of Directors. /s/ Samuel Gesten as attorney-in-fact for William P. Wall 2016-06-27