0001209191-19-058128.txt : 20191126
0001209191-19-058128.hdr.sgml : 20191126
20191126163320
ACCESSION NUMBER: 0001209191-19-058128
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191125
FILED AS OF DATE: 20191126
DATE AS OF CHANGE: 20191126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moore John C
CENTRAL INDEX KEY: 0001426569
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 191251469
MAIL ADDRESS:
STREET 1: 1911 WALKER AVE
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: 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
2019-11-25
0
0000718937
STAAR SURGICAL CO
STAA
0001426569
Moore John C
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
1
0
0
0
Common Stock
2019-11-25
4
M
0
20000
4.73
A
65035
D
Common Stock
2019-11-25
4
M
0
8613
38.54
D
56422
D
Common Stock
92296
I
By Family Trust
Common Stock Options
4.73
2019-11-25
4
M
0
20000
0.00
D
2011-05-19
2020-05-18
Common Stock
20000
0
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $38.50 to $38.61, inclusive.
Shares allocated to reporting person's family trust.
This Form 4 reflects the exercise of stock options set to expire in May 2020. Mr. Moore sold shares to pay the strike price and to cover the tax obligations resulting from the stock option exercise. Mr. Moore elected to hold the remaining shares from the stock option exercise.
/s/ Samuel Gesten as attorney-in-fact for Mr. John C. Moore
2019-11-26