0001209191-21-034878.txt : 20210521 0001209191-21-034878.hdr.sgml : 20210521 20210521160658 ACCESSION NUMBER: 0001209191-21-034878 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210519 FILED AS OF DATE: 20210521 DATE AS OF CHANGE: 20210521 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: 21949018 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 2021-05-19 0 0000718937 STAAR SURGICAL CO STAA 0001188757 FARRELL STEPHEN C 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 0 0 0 Common Stock 2021-05-19 4 M 0 5000 5.54 A 10808 D Common Stock 2021-05-19 4 D 0 5000 120.00 D 5808 D Common Stock Options 5.54 2021-05-19 4 M 0 5000 0.00 D 2017-06-24 2026-06-23 Common Stock 5000 15000 D 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 2021-05-21