0001209191-21-043361.txt : 20210625 0001209191-21-043361.hdr.sgml : 20210625 20210625175605 ACCESSION NUMBER: 0001209191-21-043361 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210624 FILED AS OF DATE: 20210625 DATE AS OF CHANGE: 20210625 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kliman Gilbert H CENTRAL INDEX KEY: 0001293171 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 211049252 MAIL ADDRESS: STREET 1: C/O INTERWEST PARTNERS STREET 2: 467 FIRST STREET SUITE 201 CITY: LOS ALTOS STATE: CA ZIP: 94022 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 2021-06-24 0 0000718937 STAAR SURGICAL CO STAA 0001293171 Kliman Gilbert H 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 0 0 0 Common Stock 2021-06-24 4 A 0 404 0.00 A 2985 D Common Stock Options 154.96 2021-06-24 4 M 0 850 0.00 A 2022-06-24 2031-06-23 Common Stock 850 850 D The restrictions on the 404 restricted shares of common stock lapse on the earlier of June 24, 2022, or the Corporation's 2022 Annual Shareholders Meeting, subject to Dr. Kliman's continued service through that date. The options vest on the earlier of June 24, 2022 or the Corporation's 2022 Annual Shareholders Meeting. On June 24, 2021, STAAR Surgical Company granted Dr. Kliman, a non-employee director, 850 options to purchase common stock of the Corporation and 404 restricted shares of the Corporation's common stock on his re-election to the Board of Directors. /s/ Samuel Gesten as attorney-in-fact for Gilbert Kliman. 2021-06-25