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