X0304 4 2012-03-02 0 0000718937 STAAR SURGICAL CO STAA 0001206975 FAGEN DONALD L 1911 WALKER AVENUE MONROVIA CA 91016 0 1 0 0 V.P. Sales for N. America Common Stock 2012-03-02 4 A 0 7500 0 A 16800 D Common Stock Options 11.00 2012-03-02 4 A 0 20000 0 A 2022-03-02 Common Stock 20000 20000 D Performance Accelerated Restricted Shares (PARS) subject to forfeiture and vesting in a single installment on March 2, 2015, but subject to accelerated vesting as to 1/3 of the shares each year pursuant to achievement of certain perforance criteria. Includes 7,500 PARS subject to forfeiture and vesting in a single installment on March 15, 2014 and 7,500 PARS subject to forfeiture and vesting in a single installment on March 2, 2015. The options first become exercisable as follows: 6,667 on March 2, 2013, 6,667 on March 2, 2014 and 6,666 on March 2, 2015. Following the reported transactions Mr. Fagen's total beneficial ownership (as defined in rule 13d-3 under the Exchange Act) is 56,799 shares of Common Stock, which includes 15,000 PARS and 39,999 stock options that have vested or will vest within 60 days of this report. He also held 50,001 unvested stock options. /s/ Charles Kaufman as Attorney-in-fact for Donald L. Fagen 2012-03-06