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