0001209191-23-057467.txt : 20231205 0001209191-23-057467.hdr.sgml : 20231205 20231205170345 ACCESSION NUMBER: 0001209191-23-057467 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231204 FILED AS OF DATE: 20231205 DATE AS OF CHANGE: 20231205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zhou Lilian Yansheng CENTRAL INDEX KEY: 0002003105 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 231467464 MAIL ADDRESS: STREET 1: 130 POLLY PARK ROAD CITY: RYE STATE: NY ZIP: 10580 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 2023-12-04 0 0000718937 STAAR SURGICAL CO STAA 0002003105 Zhou Lilian Yansheng 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 1 0 0 0 0 Common Stock 2023-12-04 4 A 0 1477 0.00 A 1477 D Common Stock 32.29 2023-12-04 4 A 0 2686 0.00 A 2024-06-16 2034-06-15 Common Stock 2686 2686 D Includes restricted shares of common stock awarded on her appointment to the Board, which vest in full on the earlier of June 16, 2024, or the Corporation's 2024 Annual Shareholders Meeting. The options shall vest in full on the earlier of June 16, 2024, or the Corporation's 2024 Annual Shareholders Meeting. Effective December 4, 2023, the Board of Directors appointed Ms. Zhou to serve as a member of the Board and granted her, as a non-employee director, 1477 restricted shares and 2686 options to purchase common stock, which represents a pro-rated amount of the standard director equity compensation for a director serving during the 2023-2024 term. /s/ Samuel Gesten as attorney-in-fact for Lilian Zhou. 2023-12-05