0001209191-20-020932.txt : 20200324 0001209191-20-020932.hdr.sgml : 20200324 20200324162157 ACCESSION NUMBER: 0001209191-20-020932 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200320 FILED AS OF DATE: 20200324 DATE AS OF CHANGE: 20200324 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: 20738637 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: 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 2020-03-20 0 0000718937 STAAR SURGICAL CO STAA 0001301366 Mason Caren L 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 1 0 0 President & CEO Common Stock Options 27.53 2020-03-20 4 A 0 96335 0.00 A 2021-03-20 2030-03-19 Common Stock 96335 96335 D Common Stock Options 31.66 2020-03-20 4 A 0 41885 0.00 A 2021-03-20 2030-03-19 Common Stock 41885 41885 D The options granted become exercisable as follows: 1/3 on 3/20/2021 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 3/20/2023. This Form 4 reflects a 2020 equity award to Ms. Mason. /s/ Samuel Gesten as attorney-in-fact for Caren Mason 2020-03-24