SEC Form 4 · accession 0001209191-16-111724
STAAR SURGICAL CO · STAA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Caren L Mason
Officer — President & CEO · Director
Period of report
Mar 18, 2016
Accepted (ET)
Apr 1, 2016 · 5:09 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 | Mar 18, 2016 | A | 50,000 | $0.00 | A | 64,500 | 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 | $7.52 | Mar 18, 2016 | A | 100,000 | A | Mar 18, 2017 | Mar 17, 2026 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1Award of 50,000 Restricted Stock Units of Common Stock (RSU), subject to forfeiture rights, which lapse as to 1/3 of the RSUs on 3/18/17, 1/3 of the RSUs on 3/18/18, and 1/3 of the RSUs on 3/18/19.
- F2The options granted become exercisable as follows: 1/3 on 3/18/2017 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis.