0001209191-19-059482.txt : 20191206
0001209191-19-059482.hdr.sgml : 20191206
20191206163455
ACCESSION NUMBER: 0001209191-19-059482
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191204
FILED AS OF DATE: 20191206
DATE AS OF CHANGE: 20191206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Blickensdoerfer Hans-Martin
CENTRAL INDEX KEY: 0001488891
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 191273512
MAIL ADDRESS:
STREET 1: 1911 WALKER AVENUE
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
2019-12-04
0
0000718937
STAAR SURGICAL CO
STAA
0001488891
Blickensdoerfer Hans-Martin
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
0
1
0
0
Sr. VP, Comm. Ops, China
Common Stock
2019-12-04
4
M
0
25000
5.68
A
149200
D
Common Stock
2019-12-04
4
S
0
25000
38.15
D
124200
D
Common Stock
2019-12-04
4
M
0
20000
5.49
A
144200
D
Common Stock
2019-12-04
4
S
0
20000
38.15
D
124200
D
Common Stock Options
5.68
2019-12-04
4
M
0
25000
0.00
D
2020-12-14
Common Stock
25000
0
D
Common Stock Options
5.49
2019-12-04
4
M
0
20000
0.00
D
2021-03-14
Common Stock
20000
0
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $38.00 to $38.33, inclusive.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $38.00 to $38.33, inclusive.
The options vested in three equal installments on December 15, 2011, December 15, 2012, and December 15, 2013.
The options vested in three equal installments on March 15, 2012, March 15, 2013, and March 15, 2014.
This Form 4 reflects the exercise of stock options awarded to Mr. Blickensdoerfer in 2010 and 2011.
/s/ Samuel Gesten as attorney-in-fact for Hans Blickensdoerfer
2019-12-06