0001209191-21-016879.txt : 20210303 0001209191-21-016879.hdr.sgml : 20210303 20210303163623 ACCESSION NUMBER: 0001209191-21-016879 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hansen Graydon C. CENTRAL INDEX KEY: 0001781933 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 21709569 MAIL ADDRESS: STREET 1: 25651 ATLANTIC OCEAN DRIVE CITY: LAKE FORST STATE: CA ZIP: 92630 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 2021-03-01 0 0000718937 STAAR SURGICAL CO STAA 0001781933 Hansen Graydon C. 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 0 1 0 0 Sr. VP, Global Operations Common Stock 2021-03-01 4 M 0 2431 15.25 A 23984 D Common Stock 2021-03-01 4 M 0 1218 16.15 A 25202 D Common Stock 2021-03-01 4 M 0 374 29.80 A 25546 D Common Stock 2021-03-01 4 M 0 229 35.98 A 25805 D Common Stock 2021-03-01 4 M 0 5618 29.80 A 31423 D Common Stock 2021-03-01 4 M 0 14491 35.98 A 45914 D Common Stock 2021-03-01 4 M 0 185 16.15 A 46099 D Common Stock 2021-03-01 4 S 0 20294 103.21 D 25805 D Common Stock 2021-03-01 4 S 0 11427 103.05 D 14378 D Common Stock 2021-03-01 4 M 0 2069 16.15 A 16447 D Common Stock 2021-03-01 4 S 0 2069 106.03 D 14378 D Common Stock Options 15.25 2021-03-01 4 M 0 2431 0.00 D 2018-11-13 2027-11-12 Common Stock 2431 0 D Common Stock Options 16.15 2021-03-01 4 M 0 1218 0.00 D 2019-03-15 2028-03-14 Common Stock 1218 2602 D Common Stock Options 29.80 2021-03-01 4 M 0 374 0.00 D 2019-06-14 2028-06-13 Common Stock 374 6368 D Common Stock Options 35.98 2021-03-01 4 M 0 229 0.00 D 2020-03-14 2029-03-13 Common Stock 229 22813 D Common Stock Options 29.80 2021-03-01 4 M 0 5618 0.00 D 2019-06-14 2028-06-13 Common Stock 5618 750 D Common Stock Options 35.98 2021-03-01 4 M 0 14491 0.00 D 2020-03-14 2029-03-13 Common Stock 14491 8322 D Common Stock Options 16.15 2021-03-01 4 M 0 185 0.00 D 2019-03-15 2028-03-14 Common Stock 185 2417 D Common Stock Options 16.15 2021-03-01 4 M 0 2069 0.00 D 2019-03-15 2028-03-14 Common Stock 2069 348 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $103.00 to $105.34, inclusive. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $103.00 to $103.36, inclusive. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $106.00 to $106.14, inclusive. The options granted become exercisable as follows: 1/3 on 6/14/2019 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 6/14/2021. The options granted become exercisable as follows: 1/3 on 3/14/2020 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 3/14/2023. /s/ Samuel Gesten as attorney-in-fact for Graydon Hansen 2021-03-03