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