0001209191-23-058360.txt : 20231212 0001209191-23-058360.hdr.sgml : 20231212 20231212181821 ACCESSION NUMBER: 0001209191-23-058360 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231211 FILED AS OF DATE: 20231212 DATE AS OF CHANGE: 20231212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SISITSKY NATHANIEL CENTRAL INDEX KEY: 0001225738 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 231482413 MAIL ADDRESS: STREET 1: C/O CAREFUSION CORPORATION STREET 2: 3750 TORREY VIEW COURT CITY: SAN DIEGO STATE: CA ZIP: 92130 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2023-12-11 1 0000718937 STAAR SURGICAL CO STAA 0001225738 SISITSKY NATHANIEL 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 0 1 0 0 General Counsel /s/ Nathaniel Sisitsky 2023-12-11