0001209191-20-020910.txt : 20200324 0001209191-20-020910.hdr.sgml : 20200324 20200324160916 ACCESSION NUMBER: 0001209191-20-020910 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200323 FILED AS OF DATE: 20200324 DATE AS OF CHANGE: 20200324 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDREWS DEBORAH J CENTRAL INDEX KEY: 0001325697 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 20738467 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 2020-03-23 0 0000718937 STAAR SURGICAL CO STAA 0001325697 ANDREWS DEBORAH J 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 0 1 0 0 Chief Financial Officer Common Stock 2020-03-23 4 S 0 834 27.42 D 31267 D This Form 4 reflects the sale by Ms. Andrews of Common Stock of the Company relating to RSUs that vested on March 20, 2020. /s/ Samuel Gesten as attorney-in-fact for Deborah Andrews 2020-03-24