0001209191-23-045487.txt : 20230811 0001209191-23-045487.hdr.sgml : 20230811 20230811180106 ACCESSION NUMBER: 0001209191-23-045487 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230810 FILED AS OF DATE: 20230811 DATE AS OF CHANGE: 20230811 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Patrick F. CENTRAL INDEX KEY: 0001562229 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 231165453 MAIL ADDRESS: STREET 1: C/O ZELTIQ AESTHETICS INC. STREET 2: 4698 WILLOW ROAD, SUITE 100 CITY: PLEASANTON STATE: CA ZIP: 94588 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 X0508 4 2023-08-10 0 0000718937 STAAR SURGICAL CO STAA 0001562229 Williams Patrick F. 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 0 1 0 0 Chief Financial Officer 0 Common Stock 2023-08-10 4 M 0 5122 0.00 A 45400 D Common Stock 2023-08-10 4 F 0 2539 44.10 D 42861 D This filing reflects the vesting of the final tranche of restricted stock awarded to Mr. Williams on August 10, 2020. This filing also reflects shares withheld to cover tax obligations arising from such vesting. /s/ Samuel Gesten as attorney-in-fact for Patrick F. Williams 2023-08-11