0001209191-20-046450.txt : 20200812 0001209191-20-046450.hdr.sgml : 20200812 20200812182850 ACCESSION NUMBER: 0001209191-20-046450 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200810 FILED AS OF DATE: 20200812 DATE AS OF CHANGE: 20200812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Patrick F. CENTRAL INDEX KEY: 0001562229 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 201096513 MAIL ADDRESS: STREET 1: C/O ZELTIQ AESTHETICS INC. STREET 2: 4698 WILLOW ROAD, SUITE 100 CITY: PLEASANTON STATE: CA ZIP: 94588 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 2020-08-10 0 0000718937 STAAR SURGICAL CO STAA 0001562229 Williams Patrick F. 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 0 1 0 0 Chief Financial Officer Common Stock 2020-08-10 4 A 0 30727 0.00 A 30727 D Award of 30,727 Restricted Stock Units of Common Stock (RSU), subject to forfeiture rights. Regarding half of the RSUs, 15,363, 1/3 of the shares (5121) will vest on 8/10/21, 1/3 of the shares (5121) will vest on 8/10/22, and 1/3 of the shares (5121) will vest on 8/10/23. Regarding the other half of the RSUs, 15,364, they may vest based on achievement of pre-established, quantitative corporate financial performance metrics. This Form 4 reflects the equity grant to Mr. Williams related to his appointment as Chief Financial Officer. /s/ Samuel Gesten as attorney-in-fact for Patrick F. Williams 2020-08-11