SEC Form 4 · accession 0001181431-15-006011
STAAR SURGICAL CO · STAA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack Steven Roush
Other
Period of report
Apr 16, 2015
Accepted (ET)
Apr 21, 2015 · 6:32 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 StockF1 | Apr 16, 2015 | A | 1,212 | $0.00 | A | 1,212 | 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 OptionsF2 | $9.37 | Apr 16, 2015 | A | 2,274 | A | Jul 8, 2015 | Jul 7, 2025 | Common Stock | 2,274 | 2,274 | D |
Explanation of responses
- F1These 1212 shares are restricted and subject to forfeiture and vest in full on July 8, 2015, with vesting generally to accelerate in the event the grantee's service as director ends prior to that date.
- F2These 2274 stock options vest in full on July 8, 2015, with vesting generally to accelerate in the event the grantee's service as director ends prior to that date.
Remarks
STAAR's Board of Directors appointed Mr. J. Steven Roush as a director, effective April 16, 2015. This filing reflects Mr. Roush's pro-rated amount of the standard director equity compensation for a director for the 2014-2015 term.