0001209191-24-000551.txt : 20240103 0001209191-24-000551.hdr.sgml : 20240103 20240103191414 ACCESSION NUMBER: 0001209191-24-000551 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240103 FILED AS OF DATE: 20240103 DATE AS OF CHANGE: 20240103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRINZI THOMAS G CENTRAL INDEX KEY: 0001663458 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11634 FILM NUMBER: 24509115 MAIL ADDRESS: STREET 1: 100 ABBOTT PARK ROAD STREET 2: AP6A-2, D-032L CITY: ABBOTT PARK STATE: IL ZIP: 60064-6092 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STAAR SURGICAL CO CENTRAL INDEX KEY: 0000718937 STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851] ORGANIZATION NAME: 08 Industrial Applications and Services 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 X0508 4 2024-01-03 0 0000718937 STAAR SURGICAL CO STAA 0001663458 FRINZI THOMAS G 25651 ATLANTIC OCEAN DRIVE LAKE FOREST CA 92630 1 1 0 0 President & CEO 0 Common Shares 2024-01-03 4 F 0 10739 29.20 D 81294 D Reflects share withholding following the vesting of a portion of the initial equity grant issued upon Mr. Frinzi assuming the Chief Executive Officer role. /s/ Samuel J. Gesten as attorney-in-fact for Thomas G. Frinzi 2024-01-03