0001209191-17-022061.txt : 20170321
0001209191-17-022061.hdr.sgml : 20170321
20170321164521
ACCESSION NUMBER: 0001209191-17-022061
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170321
FILED AS OF DATE: 20170321
DATE AS OF CHANGE: 20170321
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: Blickensdoerfer Hans-Martin
CENTRAL INDEX KEY: 0001488891
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 17704643
MAIL ADDRESS:
STREET 1: 1911 WALKER AVENUE
CITY: MONROVIA
STATE: CA
ZIP: 91016
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-03-21
0
0000718937
STAAR SURGICAL CO
STAA
0001488891
Blickensdoerfer Hans-Martin
1911 WALKER AVENUE
MONROVIA
CA
91016
0
1
0
0
Sr. VP, EMEA, LA and China
Common Stock
2017-03-21
4
A
0
11250
0.00
A
139200
D
Common Stock Options
9.30
2017-03-21
4
A
0
22500
0.00
A
2018-03-21
2027-03-20
Common Stock
22500
22500
D
Award of 11,250 Restricted Stock Units of Common Stock (RSU), subject to forfeiture rights, which lapse as to 1/3 of the RSUs on 3/21/18, 1/3 of the RSUs on 3/21/19, and 1/3 of the RSUs on 3/21/20.
The options granted become exercisable as follows: 1/3 on 3/21/2018 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 3/21/2020.
/s/ Samuel Gesten as attorney-in-fact for Hans Blickensdoerfer
2017-03-21