0001209191-21-033541.txt : 20210518 0001209191-21-033541.hdr.sgml : 20210518 20210518164749 ACCESSION NUMBER: 0001209191-21-033541 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210517 FILED AS OF DATE: 20210518 DATE AS OF CHANGE: 20210518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FARRELL STEPHEN C CENTRAL INDEX KEY: 0001188757 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 21936770 MAIL ADDRESS: STREET 1: 701 EDGEWATER DRIVE STREET 2: SUITE 360 CITY: WAKEFIELD STATE: MA ZIP: 01880 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: 0101 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 2021-05-17 0 0000718937 STAAR SURGICAL CO STAA 0001188757 FARRELL STEPHEN C 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 0 0 0 Common Stock 2021-05-17 4 M 0 5328 7.14 A 11136 D Common Stock 2021-05-17 4 D 0 5328 113.87 D 5808 D Common Stock Options 7.14 2021-05-17 4 M 0 5328 0.00 D 2016-07-08 2025-12-31 Common Stock 5328 5000 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $109.86 to $117.81, inclusive. This Form 4 reflects sales by Mr. Farrell of Common Stock of the Company pursuant to instructions contained in a pre-established Rule 10b5-1 plan. /s/ Samuel Gesten as attorney-in-fact for Stephen Farrell 2021-05-18