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