0001181431-11-047221.txt : 20110826
0001181431-11-047221.hdr.sgml : 20110826
20110826193547
ACCESSION NUMBER: 0001181431-11-047221
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110826
FILED AS OF DATE: 20110826
DATE AS OF CHANGE: 20110826
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Caldwell Barry G
CENTRAL INDEX KEY: 0001332314
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 111061245
MAIL ADDRESS:
STREET 1: 1212 TERRA BELLA AVENUE
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
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: 0101
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
rrd320795.xml
FORM 4 B CALDWELL
X0304
4
2011-08-26
0
0000718937
STAAR SURGICAL CO
STAA
0001332314
Caldwell Barry G
1911 WALKER AVE
MONROVIA
CA
91016
1
1
0
0
President and CEO
Common Stock
2011-08-26
4
S
0
10000
8.05
D
221839
D
Following the reported transaction Mr. Caldwell's total beneficial ownership (as defined in Rule 13d-3 under the Exchange Act) is 441,839 shares of Common Stock, which includes 220,000 vested stock options, 10,000 restricted shares and 15,000 performance accelerated restricted shares. He also holds 90,000 unvested stock options.
/s/Charles Kaufman as attorney-in-fact for Barry G. Caldwell
2011-08-26