0001140361-12-013604.txt : 20120306 0001140361-12-013604.hdr.sgml : 20120306 20120306212517 ACCESSION NUMBER: 0001140361-12-013604 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120302 FILED AS OF DATE: 20120306 DATE AS OF CHANGE: 20120306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Felberg Craig CENTRAL INDEX KEY: 0001406331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 12672313 MAIL ADDRESS: STREET 1: 1911 WALKER AVENUE CITY: MONROVIA STATE: CA ZIP: 91016 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 doc1.xml FORM 4 X0304 4 2012-03-02 0 0000718937 STAAR SURGICAL CO STAA 0001406331 Felberg Craig 1911 WALKER AVENUE MONROVIA CA 91016 0 1 0 0 VP, R&D and Clinical Affairs Common Stock 2012-03-02 4 A 0 7500 0 A 31200 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 of Common Stock (PARS), subject to forfeiture and vesting in a single installment on March 2, 2015, but subject to accelerated vestng as to 1/3 of the shares each year pursuant to achieveent of certain performance 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 became exercisable as follows: 6,667 shares on March 2, 2013, 6,667 shares on March 2, 2014 and 6,666 shares on March 2, 2015. Following all reported transactions, Mr. Felberg's total beneficial ownership (as defined in rule 13d-3 under the Exchange Act) is 107,865 shares, which includes 76,665 shares subject to options that have vested or will vest within 60 days of this report and 15,000 PARS. Mr. Felberg also holds 53,335 unvested options. /s/ Charles Kaufman as Attorney-in-fact for Craig Felberg 2012-03-06