0001209191-19-028213.txt : 20190508
0001209191-19-028213.hdr.sgml : 20190508
20190508160026
ACCESSION NUMBER: 0001209191-19-028213
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190506
FILED AS OF DATE: 20190508
DATE AS OF CHANGE: 20190508
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: 19806523
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: 0103
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
2019-05-06
0
0000718937
STAAR SURGICAL CO
STAA
0001426569
Moore John C
1911 WALKER AVE
MONROVIA
CA
91016
1
0
0
0
Common Stock
2019-05-06
4
M
0
7500
1.92
A
45035
D
Common Stock
92296
I
By Family Trust
Common Stock
1.92
2019-05-06
2019-05-06
4
M
0
7500
0.00
D
2010-06-17
2019-06-16
Common Stock
7500
0
D
Shares allocated to reporting person's family trust.
This Form 4 reflects the exercise of expiring stock options by Mr. Moore. Mr. Moore elected to hold all 7500 shares.
/s/ Samuel Gesten as attorney-in-fact for Mr. John C. Moore
2019-05-08