0001209191-21-005475.txt : 20210126 0001209191-21-005475.hdr.sgml : 20210126 20210126172943 ACCESSION NUMBER: 0001209191-21-005475 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170121 FILED AS OF DATE: 20210126 DATE AS OF CHANGE: 20210126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lin Elizabeth Yeu CENTRAL INDEX KEY: 0001842190 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 21555507 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 2017-01-21 0 0000718937 STAAR SURGICAL CO STAA 0001842190 Lin Elizabeth Yeu 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 1 0 0 0 Common Stock Options 89.67 2021-01-21 2021-01-21 4 A 0 1367 0.00 A 2021-07-30 2030-01-20 Common Stock 1367 1367 D The options vest on the earlier of July 30, 2021 or the Corporation's 2021 Annual Shareholders Meeting. Effective January 21, 2021, the Board of Directors appointed Dr. Yeu to serve as a member of the Board and granted her, as a non-employee director, 1367 options to purchase common stock, which represents a pro-rated amount of the standard director equity compensation for a director serving during the 2020-2021 term. /s/ Samuel Gesten as attorney-in-fact for Dr. Elizabeth Yeu 2021-01-26