0001181431-12-014917.txt : 20120306 0001181431-12-014917.hdr.sgml : 20120306 20120306185541 ACCESSION NUMBER: 0001181431-12-014917 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: Hughes Robin CENTRAL INDEX KEY: 0001406086 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 12672022 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 rrd337441.xml ROBIN HUGHES RESTRICTED STOCK TAX SLE X0304 4 2012-03-02 0 0000718937 STAAR SURGICAL CO STAA 0001406086 Hughes Robin 1911 WALKER AVE MONROVIA CA 91016 0 1 0 0 Vice President, Marketing Common Stock 2012-03-02 4 S 0 100 10.94 D 57900 D Common Stock 2012-03-02 4 S 0 100 10.95 D 57800 D Common Stock 2012-03-02 4 S 0 100 10.98 D 57700 D Common Stock 2012-03-02 4 S 0 200 10.99 D 57500 D Common Stock 2012-03-02 4 S 0 600 11.00 D 56900 D Common Stock 2012-03-02 4 S 0 100 11.01 D 56800 D Common Stock 2012-03-02 4 S 0 100 11.02 D 56700 D Common Stock 2012-03-02 4 S 0 100 11.03 D 56600 D Common Stock 2012-03-02 4 S 0 100 11.04 D 56500 D Common Stock 2012-03-02 4 S 0 100 11.05 D 56400 D Common Stock 2012-03-02 4 S 0 100 11.06 D 56300 D Common Stock 2012-03-02 4 S 0 100 11.10 D 56200 D Common Stock 2012-03-02 4 S 0 100 11.1236 D 56100 D Common Stock 2012-03-02 4 S 0 100 11.14 D 56000 D Includes 7,500 Performance Accelerated Restricted Shares (PARS), subject to forfeiture and vesting in a single installment on March 15, 2014, but subject to accelerated vesting as to 1/3 of the shares each year pursuant to achievement of certain performance criteria. Following the reported transactions Mr. Hughes' total beneficial ownership (as defined in Rule 13d-3 under the Exchange Act) is 132,665 shares of Common Stock, which includes 76,665 stock options that have vested or will vest within 60 days of this report and 7,500 PARS. As of the completion of the reported transactions Mr. Hughes also held 33,335 unvested stock options. This Statement on Form 4 reports Mr. Hughes' sale of 2,000 shares of STAAR Common Stock on March 2, 2012 pursuant to a trading plan under Rule 10b5-1 entered into on December 8, 2011, for the purpose of paying withholding taxes that arise on the vesting of restricted shares. /s/ Charles Kaufman as Attorney-in-Fact for Robin Hughes 2012-03-06