0001209191-21-054675.txt : 20210903
0001209191-21-054675.hdr.sgml : 20210903
20210903130235
ACCESSION NUMBER: 0001209191-21-054675
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210901
FILED AS OF DATE: 20210903
DATE AS OF CHANGE: 20210903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Blickensdoerfer Hans-Martin
CENTRAL INDEX KEY: 0001488891
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 211235846
MAIL ADDRESS:
STREET 1: 1911 WALKER AVENUE
CITY: MONROVIA
STATE: CA
ZIP: 91016
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
2021-09-01
0
0000718937
STAAR SURGICAL CO
STAA
0001488891
Blickensdoerfer Hans-Martin
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
0
1
0
0
Sr. VP, Comm. Ops, China
Common Stock
2021-09-01
4
S
0
8621
157.61
D
99760
D
Common Stock
2021-09-01
4
M
0
17573
16.15
A
117333
D
Common Stock
2021-09-01
4
S
0
17573
157.61
D
99760
D
Common Stock
2021-09-02
4
S
0
11038
157.50
D
88722
D
Common Stock
2021-09-02
4
M
0
871
16.15
A
89593
D
Common Stock
2021-09-02
4
M
0
13484
29.80
A
103077
D
Common Stock
2021-09-02
4
M
0
2988
35.98
A
106065
D
Common Stock
2021-09-02
4
S
0
17343
157.50
D
88722
D
Common Stock Options
16.15
2021-09-01
4
M
0
17573
0.00
D
2019-03-15
2028-03-14
Common Stock
17573
871
D
Common Stock Options
16.15
2021-09-02
4
M
0
871
0.00
D
2019-03-15
2028-03-14
Common Stock
871
0
D
Common Stock Options
29.80
2021-09-02
4
M
0
13484
0.00
D
2019-06-14
2028-06-13
Common Stock
13484
0
D
Common Stock Options
35.98
2021-09-02
4
M
0
2988
0.00
D
2020-03-14
2029-03-13
Common Stock
2988
18140
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $157.50 to $157.99, inclusive.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $157.50 to $157.99, inclusive.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $157.50 to $157.56, inclusive.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $157.50 to $157.72, 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 3/13/2029.
/s/ Samuel Gesten as attorney-in-fact for Hans Blickensdoerfer
2021-09-03