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