0001209191-17-040113.txt : 20170615
0001209191-17-040113.hdr.sgml : 20170615
20170615161337
ACCESSION NUMBER: 0001209191-17-040113
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170613
FILED AS OF DATE: 20170615
DATE AS OF CHANGE: 20170615
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: Moore John C
CENTRAL INDEX KEY: 0001426569
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 17913653
MAIL ADDRESS:
STREET 1: 1911 WALKER AVE
CITY: MONROVIA
STATE: CA
ZIP: 91016
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-06-13
0
0000718937
STAAR SURGICAL CO
STAA
0001426569
Moore John C
1911 WALKER AVE
MONROVIA
CA
91016
1
0
0
0
Common Stock
2017-06-13
4
A
0
10417
0.00
A
33844
D
Common Stock
92296
I
By Family Trust
The restrictions on the 10,417 restricted shares of common stock lapse on the earlier of June 13, 2018 or the Corporation's 2018 Annual Meeting, subject to Mr. Moore's continued service through that date.
On June 13, 2017, STAAR Surgical Company granted Mr. Moore, a non-employee director, 10,417 restricted shares of the Corporation's common stock on his re-election to the Board of Directors.
/s/ Samuel Gesten as attorney-in-fact for Mr. John C. Moore.
2017-06-15