0001209191-22-034528.txt : 20220606 0001209191-22-034528.hdr.sgml : 20220606 20220606163146 ACCESSION NUMBER: 0001209191-22-034528 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220606 FILED AS OF DATE: 20220606 DATE AS OF CHANGE: 20220606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mason Caren L CENTRAL INDEX KEY: 0001301366 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 22998472 MAIL ADDRESS: STREET 1: 2523 PARK RIDGE DRIVE CITY: ESCONDIDO STATE: CA ZIP: 92025 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: 1231 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 2022-06-06 0 0000718937 STAAR SURGICAL CO STAA 0001301366 Mason Caren L 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 1 0 0 President & CEO Common Stock 2022-06-06 4 M 0 12886 7.76 A 96531 D Common Stock 2022-06-06 4 M 0 34928 7.52 A 131459 D Common Stock 2022-06-06 4 M 0 14765 9.30 A 146224 D Common Stock 2022-06-06 4 M 0 6191 16.15 A 152415 D Common Stock Options 7.76 2022-06-06 4 M 0 12886 0.00 D 2016-03-03 2025-03-02 Common Stock 12886 40114 D Common Stock Options 7.52 2022-06-06 4 M 0 34928 0.00 D 2017-03-18 2026-03-17 Common Stock 34928 65072 D Common Stock Options 9.30 2022-06-06 4 M 0 14765 0.00 D 2018-03-21 2027-03-20 Common Stock 14765 80235 D Common Stock Options 16.15 2022-06-06 4 M 0 6191 0.00 D 2019-03-15 2028-03-14 Common Stock 6191 68809 D /s/ Samuel Gesten as attorney-in-fact for Caren Mason 2022-06-06