0001209191-21-051097.txt : 20210812
0001209191-21-051097.hdr.sgml : 20210812
20210812162238
ACCESSION NUMBER: 0001209191-21-051097
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210810
FILED AS OF DATE: 20210812
DATE AS OF CHANGE: 20210812
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Williams Patrick F.
CENTRAL INDEX KEY: 0001562229
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 211167898
MAIL ADDRESS:
STREET 1: C/O ZELTIQ AESTHETICS INC.
STREET 2: 4698 WILLOW ROAD, SUITE 100
CITY: PLEASANTON
STATE: CA
ZIP: 94588
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: 0101
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
2021-08-10
0
0000718937
STAAR SURGICAL CO
STAA
0001562229
Williams Patrick F.
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
0
1
0
0
Chief Financial Officer
Common Stock
2021-08-10
4
M
0
5121
0.00
A
33240
D
Common Stock
2021-08-11
4
S
0
2500
140.58
D
30740
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $139.41 to $142.16, inclusive.
This filing reflects (1) the vesting of performance-based restricted stock awarded to Mr. Williams on August 10, 2020, with achievement based on the Corporation's satisfaction of pre-established financial metrics; generating $200M in revenue, calculated on a trailing 12-month basis and the passage of at least 12 months from the date of grant; and (2) the sale by Mr. Williams of Common Stock of the Company pursuant to instructions contained in a pre-established Rule 10b5-1 plan.
/s/ Samuel Gesten as attorney-in-fact for Patrick F. Williams
2021-08-12