0001209191-19-023797.txt : 20190405 0001209191-19-023797.hdr.sgml : 20190405 20190405160426 ACCESSION NUMBER: 0001209191-19-023797 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190404 FILED AS OF DATE: 20190405 DATE AS OF CHANGE: 20190405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDREWS DEBORAH J CENTRAL INDEX KEY: 0001325697 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 19735146 MAIL ADDRESS: STREET 1: 1911 WALKER AVE. CITY: MONROVIA STATE: CA ZIP: 91016 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 2019-04-04 0 0000718937 STAAR SURGICAL CO STAA 0001325697 ANDREWS DEBORAH J 1911 WALKER AVENUE MONROVIA CA 91016 0 1 0 0 Chief Financial Officer Common Stock 2019-04-04 4 S 0 1000 34.35 D 36268 D This Form 4 reflects the sale, pursuant to a pre-established Rule 10b5-1 plan, of RSUs that vested on April 4, 2019. /s/ Samuel Gesten as attorney-in-fact for Deborah Andrews 2019-04-05