0001209191-20-020257.txt : 20200319 0001209191-20-020257.hdr.sgml : 20200319 20200319161542 ACCESSION NUMBER: 0001209191-20-020257 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200318 FILED AS OF DATE: 20200319 DATE AS OF CHANGE: 20200319 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: 20728710 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 2020-03-18 0 0000718937 STAAR SURGICAL CO STAA 0001426569 Moore John C 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 0 0 0 Common Stock 2020-03-18 4 M 0 10000 5.81 A 66422 D Common Stock 92296 I By Family Trust Common Stock Options 5.81 2020-03-18 4 M 0 10000 0.00 D 2012-05-27 2021-05-26 Common Stock 10000 0 D Shares allocated to reporting person's family trust. This Form 4 reflects the exercise of stock options set to expire in May 2021. Mr. Moore held the shares obtained as a result of his stock option exercise. /s/ Samuel Gesten as attorney-in-fact for Mr. John C. Moore 2020-03-19