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