0001209191-21-034877.txt : 20210521
0001209191-21-034877.hdr.sgml : 20210521
20210521160553
ACCESSION NUMBER: 0001209191-21-034877
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210521
FILED AS OF DATE: 20210521
DATE AS OF CHANGE: 20210521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Barnes Scott D
CENTRAL INDEX KEY: 0001781830
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 21949002
MAIL ADDRESS:
STREET 1: 25651 ATLANTIC OCEAN DRIVE
CITY: LAKE FORST
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: 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
2021-05-21
0
0000718937
STAAR SURGICAL CO
STAA
0001781830
Barnes Scott D
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
0
1
0
0
Chief Medical Officer
Common Stock
2021-05-21
4
M
0
2500
16.15
A
25826
D
Common Stock
2021-05-21
4
M
0
2229
35.98
A
28055
D
Common Stock
2021-05-21
4
M
0
7566
27.53
A
35621
D
Common Stock
2021-05-21
4
D
0
12295
126.05
D
23326
D
Common Stock Options
16.15
2021-05-21
4
M
0
2500
0.00
D
2019-03-15
2028-03-14
Common Stock
2500
5200
D
Common Stock Options
35.98
2021-05-21
4
M
0
2229
0.00
D
2020-03-14
2029-03-13
Common Stock
2229
9157
D
Common Stock Options
27.53
2021-05-21
4
M
0
7566
0.00
D
2021-03-20
2030-03-19
Common Stock
7566
11891
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $126.00 to $126.36, inclusive.
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.
The options granted become exercisable as follows: 1/3 on 3/20/2021 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 3/20/2023.
/s/ Samuel Gesten as attorney-in-fact for Scott Barnes
2021-05-21