0001209191-21-016890.txt : 20210303 0001209191-21-016890.hdr.sgml : 20210303 20210303163837 ACCESSION NUMBER: 0001209191-21-016890 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Holliday Keith CENTRAL INDEX KEY: 0001678691 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 21709634 MAIL ADDRESS: STREET 1: 1911 WALKER AVENUE CITY: MONROVIA STATE: CA ZIP: 91016 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 2021-03-01 0 0000718937 STAAR SURGICAL CO STAA 0001678691 Holliday Keith 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 0 1 0 0 Chief Technology Officer Common Stock 2021-03-01 4 S 0 5208 103.85 D 29124 D Common Stock 2021-03-01 4 M 0 1206 9.30 A 30330 D Common Stock 2021-03-01 4 M 0 7094 16.15 A 37424 D Common Stock 2021-03-01 4 M 0 1873 29.80 A 39297 D Common Stock 2021-03-01 4 M 0 3610 35.98 A 42907 D Common Stock 2021-03-01 4 S 0 13783 104.82 D 29124 D Common Stock Options 9.30 2021-03-01 4 M 0 1206 0.00 D 2018-03-21 2027-03-20 Common Stock 1206 0 D Common Stock Options 16.15 2021-03-01 4 M 0 7094 0.00 D 2019-03-15 2028-03-14 Common Stock 7094 694 D Common Stock Options 29.80 2021-03-01 4 M 0 1873 0.00 D 2019-06-14 2028-06-13 Common Stock 1873 1499 D Common Stock Options 35.98 2021-03-01 4 M 0 3610 0.00 D 2020-03-14 2029-03-13 Common Stock 3610 7221 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $102.55 to $106.64, inclusive. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $102.14 to $106.56, inclusive. The options granted become exercisable as follows: 1/3 on 6/14/2019 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 6/13/2021. The options granted become exercisable as follows: 1/3 on 3/14/2020 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 3/14/2022. /s/ Samuel Gesten as attorney-in-fact for Keith Holliday. 2021-03-03