0001209191-21-043365.txt : 20210625 0001209191-21-043365.hdr.sgml : 20210625 20210625175741 ACCESSION NUMBER: 0001209191-21-043365 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: Lin Elizabeth Yeu CENTRAL INDEX KEY: 0001842190 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 211049357 MAIL ADDRESS: STREET 1: 25651 ATLANTIC OCEAN DRIVE CITY: LAKE FOREST 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 2021-06-24 0 0000718937 STAAR SURGICAL CO STAA 0001842190 Lin Elizabeth Yeu 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 1 0 0 0 Common Stock Options 154.96 2021-06-24 4 A 0 1703 0.00 A 2022-06-24 2031-06-23 Common Stock 1703 1703 D 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. Yeu, a non-employee director, 1703 options to purchase common stock of the Corporation on her election to the Board of Directors. /s/ Samuel Gesten as attorney-in-fact for Dr. Elizabeth Yeu 2021-06-25