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