0001209191-22-017269.txt : 20220308
0001209191-22-017269.hdr.sgml : 20220308
20220308184854
ACCESSION NUMBER: 0001209191-22-017269
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220307
FILED AS OF DATE: 20220308
DATE AS OF CHANGE: 20220308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mason Caren L
CENTRAL INDEX KEY: 0001301366
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 22723314
MAIL ADDRESS:
STREET 1: 2523 PARK RIDGE DRIVE
CITY: ESCONDIDO
STATE: CA
ZIP: 92025
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: 1231
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
2022-03-07
0
0000718937
STAAR SURGICAL CO
STAA
0001301366
Mason Caren L
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
1
1
0
0
President & CEO
Common Stock
2022-03-07
4
M
0
20269
0.00
A
83645
D
Common Stock Options
74.80
2022-03-07
4
M
0
42160
0.00
A
2023-03-07
2032-03-06
Common Stock
42160
42160
D
Award of 20,269 Restricted Stock Units of Common Stock (RSU), subject to forfeiture rights, which lapse as to 1/3 of the RSUs on 3/7/23, 1/3 of the RSUs on 3/7/24, and 1/3 of the RSUs on 3/7/25.
The options granted become exercisable as follows: 1/3 on 3/7/2023 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 3/7/2025.
/s/ Samuel Gesten as attorney-in-fact for Caren Mason
2022-03-08