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