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