SEC Form 4 · accession 0001209191-17-040110
STAAR SURGICAL CO · STAA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William P Wall
Director
Period of report
Jun 13, 2017
Accepted (ET)
Jun 15, 2017 · 4:12 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 | Jun 13, 2017 | A | 5,208 | $0.00 | A | 17,234 | 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 | $9.60 | Jun 13, 2017 | A | 9,921 | A | Jun 13, 2018 | Jun 12, 2027 | Common Stock | 9,921 | 9,921 | D |
Explanation of responses
- F1The restrictions on the 5208 restricted shares of common stock lapse on the earlier of June 13, 2018 or the Corporation's 2018 Annual Meeting, subject to Mr. Wall's continued service through that date.
- F2These 9,921 stock options vest in full on the earlier of June 13, 2017 or the Corporation's 2018 Annual Meeting, subject to Mr. Wall's continued service through the vesting date.
Remarks
On June 13, 2017, STAAR Surgical Company granted Mr. Wall, a non-employee director, 9,921 options to purchase common stock of the Corporation and 5,208 restricted shares of the Corporation's common stock on his re-election to the Board of Directors.