0001209191-23-028340.txt : 20230509
0001209191-23-028340.hdr.sgml : 20230509
20230509172450
ACCESSION NUMBER: 0001209191-23-028340
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230508
FILED AS OF DATE: 20230509
DATE AS OF CHANGE: 20230509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Foust Warren
CENTRAL INDEX KEY: 0001970778
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 23903483
MAIL ADDRESS:
STREET 1: 17 MAGNOLIA DRIVE
CITY: LADERA RANCH
STATE: CA
ZIP: 92694
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: 1230
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
X0407
4
2023-05-08
0
0000718937
STAAR SURGICAL CO
STAA
0001970778
Foust Warren
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
0
1
0
0
Chief Operating Officer
0
Common Stock
2023-05-08
4
M
0
20331
0.00
A
20331
D
Common Stock Options
67.63
2023-05-08
4
M
0
37567
0.00
A
2024-05-08
2033-05-07
Common Stock
37567
37567
D
Award of 20,331 Restricted Stock Units of Common Stock (RSU), subject to forfeiture rights, which lapse as to 1/3 of the shares (6777) on 5/08/24, 1/3 of the shares (6777) on 5/08/25, and 1/3 of the shares (6777) on 5/08/26.
The options granted become exercisable as follows: 1/3 on 5/08/2024 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 5/08/2026.
This Form 4 reflects the equity grant to Mr. Foust related to his appointment as Chief Operating Officer.
/s/ Samuel J. Gesten as attorney-in-fact for Warren Foust
2023-05-09