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