0001209191-23-017423.txt : 20230308 0001209191-23-017423.hdr.sgml : 20230308 20230308201854 ACCESSION NUMBER: 0001209191-23-017423 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230307 FILED AS OF DATE: 20230308 DATE AS OF CHANGE: 20230308 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: 23717860 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: 1230 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 2023-03-07 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 2023-03-07 4 F 0 1063 58.13 D 33781 D Common Stock 2023-03-07 4 M 0 1711 58.13 A 35492 D Performance Stock Units (PSUs) converted into common shares on a one-to-one basis, with the amount representing the vesting of PSUs awarded on March 7, 2022, with achievement based on the Corporation's satisfaction of pre-established financial metrics. /s/ Samuel Gesten as attorney-in-fact for Patrick F. Williams 2023-03-08