0001209191-20-057990.txt : 20201112
0001209191-20-057990.hdr.sgml : 20201112
20201112165155
ACCESSION NUMBER: 0001209191-20-057990
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201109
FILED AS OF DATE: 20201112
DATE AS OF CHANGE: 20201112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hayashida Jon K.
CENTRAL INDEX KEY: 0001781825
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 201307638
MAIL ADDRESS:
STREET 1: 25651 ATLANTIC OCEAN DRIVE
CITY: LAKE FOREST
STATE: CA
ZIP: 92630
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
2020-11-09
0
0000718937
STAAR SURGICAL CO
STAA
0001781825
Hayashida Jon K.
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
0
1
0
0
VP, Global Clinical, Medical
Common Stock
2020-11-09
4
M
0
10200
29.80
A
20994
D
Common Stock
2020-11-09
4
M
0
9800
16.15
A
30794
D
Common Stock
2020-11-09
4
S
0
20000
81.34
D
10794
D
Common Stock Options
29.80
2020-11-09
4
M
0
10200
0.00
D
2019-06-14
2028-06-13
Common Stock
10200
1058
D
Common Stock Options
16.15
2020-11-09
4
M
0
9800
0.00
D
2019-03-15
2028-03-14
Common Stock
9800
724
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $78.06 to $82.85, inclusive.
/s/ Samuel Gesten as attorney-in-fact for Dr. Jon Hayashida
2020-11-12