SEC Form 4 · accession 0000919574-15-004712
STAAR SURGICAL CO · STAA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
BROADWOOD PARTNERS LP
10% Owner
BROADWOOD CAPITAL INC
10% Owner
Neal C Bradsher
10% Owner
Period of report
May 27, 2015
Accepted (ET)
May 29, 2015 · 5:34 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000718937
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF6,F1 | May 27, 2015 | X | 700,000 | $4.00 | A | 8,117,582 | D | |
| Common StockF2 | May 27, 2015 | X | 0 | $0.00 | A | 8,117,582 | I | Footnote |
| Common StockF3 | holding | — | — | — | 25,900 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock WarrantsF5,F1,F4 | $4.00 | May 27, 2015 | X | 700,000 | D | — | Jun 1, 2015 | Common Stock | 700,000 | 0 | D |
| Common Stock WarrantsF5,F2,F4 | $4.00 | May 27, 2015 | X | 0 | D | — | Jun 1, 2015 | Common Stock | 0 | 0 | I |
Explanation of responses
- F1These securities are owned by Broadwood Partners, L.P., which is a Reporting Person.
- F2The reported securities are directly owned by Broadwood Partners, L.P. and may be deemed beneficially owned by Broadwood Capital, Inc. as General Partner of Broadwood Partners, L.P. and Neal C. Bradsher as President of Broadwood Capital, Inc. The Reporting Persons disclaim beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
- F3These securities are owned by Neal C. Bradsher, who is a Reporting Person.
- F4These warrants were exercisable with the underlying common shares issuable 61 days following the exercise date.
- F5These warrants were granted to Broadwood Partners, L.P. on June 1, 2009 pursuant to a warrant agreement between STAAR Surgical Company (the "Issuer") and Broadwood Partners, L.P. ( the "Warrant Agreement") as additional consideration for Broadwood Partners, L.P. to enter into a senior promissory note between Broadwood Partners, L.P. and the Issuer on December 14, 2007.
- F6Reflects the exercise of common stock warrants for 700,000 common shares by Broadwood Partners, L.P.