0001209191-20-033945.txt : 20200603
0001209191-20-033945.hdr.sgml : 20200603
20200603160732
ACCESSION NUMBER: 0001209191-20-033945
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20200601
FILED AS OF DATE: 20200603
DATE AS OF CHANGE: 20200603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kliman Gilbert H
CENTRAL INDEX KEY: 0001293171
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 20940052
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 2710 SAND HILL ROAD, SUITE 200
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2020-06-01
1
0000718937
STAAR SURGICAL CO
STAA
0001293171
Kliman Gilbert H
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
1
0
0
0
Reflects Dr. Kliman's appointment as a director, effective June 1, 2020.
/s/ Samuel Gesten as attorney-in-fact for Dr. Gilbert H. Kliman.
2020-06-01
EX-24.3_919560
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby
constitutes and appoints each of Deborah Andrews and Samuel Gesten,
and their successors, signing singly, as the undersigned's true
and lawful attorney-in-fact to do any or all of the following:
(a) execute for and on behalf of the undersigned, in the
Undersigned's capacity as an officer or director of
STAAR Surgical Company (the "Company"), Forms 3, 4 and
5 in accordance with Section 16(a) of the Securities
Exchange Act of 1934 and the rules thereunder;
(b) do and perform any and all acts for and on behalf of
the undersigned that may be necessary or desirable to
complete and execute any such Form 3, 4 or 5, complete
and execute any amendment or amendments thereto, and
file such form with the United States Securities and
Exchange Commission and any stock exchange or similar
authority; and
(c) take any other action of any type whatsoever in
connection with the foregoing which, in the opinion of
the attorney-in-fact, may be of benefit to, in the
interest of, or legally required by, the undersigned,
it being understood that the documents executed by
such attorney-in-fact on behalf of the undersigned
pursuant to this Power of Attorney shall be in such
form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-
fact's discretion.
The undersigned hereby grants to each attorney-in-fact full
power and authority to do and perform any and every act and
thing whatsoever requisite, necessary, or proper to be done in
the exercise of any of the rights and powers herein granted, as
fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution
or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of
this Power of Attorney and the rights and powers herein granted.
The undersigned acknowledges that the foregoing attorneys-in-
fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any
of the undersigned's responsibilities to comply with Section 16
of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and
effect until the undersigned is no longer required to file Forms
3, 4 and 5 (or such forms as may in the future be substituted
therefore under Section 16 of the Securities Exchange Act) with
respect to the undersigned's holdings of and transactions in
securities issued by the Company, unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power
of Attorney to be executed as of this 1st day June, 2020.
/s/ Gilbert H Kliman