0001209191-19-038815.txt : 20190624 0001209191-19-038815.hdr.sgml : 20190624 20190624172140 ACCESSION NUMBER: 0001209191-19-038815 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190620 FILED AS OF DATE: 20190624 DATE AS OF CHANGE: 20190624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wall William P CENTRAL INDEX KEY: 0001393025 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 19916234 MAIL ADDRESS: STREET 1: 2 BLUEBERRY HILL ROAD CITY: ANDOVER STATE: MA ZIP: 01810 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: 0103 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 doc4.xml FORM 4 SUBMISSION X0306 4 2019-06-20 0 0000718937 STAAR SURGICAL CO STAA 0001393025 Wall William P 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 0 0 0 Common Stock 2019-06-20 4 A 0 4254 0.00 A 20489 D The restrictions on the 4,254 restricted shares of common stock lapse on the earlier of June 20, 2020 or the Corporation's 2020 Annual Meeting, subject to Mr. Wall's continued service through that date. /s/ Samuel Gesten as attorney-in-fact for William P. Wall 2019-06-24