0001209191-23-038171.txt : 20230616
0001209191-23-038171.hdr.sgml : 20230616
20230616203917
ACCESSION NUMBER: 0001209191-23-038171
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230615
FILED AS OF DATE: 20230616
DATE AS OF CHANGE: 20230616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kliman Gilbert H
CENTRAL INDEX KEY: 0001293171
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11634
FILM NUMBER: 231023030
MAIL ADDRESS:
STREET 1: C/O INTERWEST PARTNERS
STREET 2: 467 FIRST STREET SUITE 201
CITY: LOS ALTOS
STATE: CA
ZIP: 94022
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
X0407
4
2023-06-15
0
0000718937
STAAR SURGICAL CO
STAA
0001293171
Kliman Gilbert H
25651 ATLANTIC OCEAN DRIVE
LAKE FOREST
CA
92630
1
0
0
0
0
Common Stock
2023-06-15
4
M
0
3417
0.00
A
9656
D
The restrictions on the 3417 restricted shares of common stock lapse on the earlier of June 15, 2024 or the Corporation's 2024 Annual Meeting, subject to Dr. Kliman's continued service through that date.
/s/ Samuel Gesten as attorney-in-fact for Dr. Gilbert Kliman.
2023-06-16