0001209191-18-037809.txt : 20180614 0001209191-18-037809.hdr.sgml : 20180614 20180614173033 ACCESSION NUMBER: 0001209191-18-037809 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180614 FILED AS OF DATE: 20180614 DATE AS OF CHANGE: 20180614 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: 18900162 MAIL ADDRESS: STREET 1: 2523 PARK RIDGE DRIVE CITY: ESCONDIDO STATE: CA ZIP: 92025 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-06-14 0 0000718937 STAAR SURGICAL CO STAA 0001301366 Mason Caren L 1911 WALKER AVE MONROVIA CA 91016 1 1 0 0 President & CEO Common Stock Options 29.80 2018-06-14 4 A 0 40452 0.00 A 2019-06-14 2028-06-13 Common Stock 40452 40452 D /s/ Samuel Gesten as attorney-in-fact for Caren Mason 2018-06-14