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Form 3 STAAR SURGICAL CO For: Mar 16 Filed by: Studholme Robert

July 5, 2022 9:55 PM EDT
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person *
Studholme Robert

(Last) (First) (Middle)
25651 ATLANTIC OCEAN DRIVE

(Street)
LAKE FOREST CA 92630

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/16/2022
3. Issuer Name and Ticker or Trading Symbol
STAAR SURGICAL CO [ STAA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior VP,Operations
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 20,850 (1)
D
 
Common Stock 502
I
By spouse.
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock Options 03/07/2023 (2) 03/07/2032 Commmon Stock 12,547 74.8 D  
Common Stock Options 03/12/2022 (3) 03/12/2031 Common Stock 4,879 90.38 D  
Common Stock Options 03/20/2021 (4) 03/20/2030 Common Stock 14,629 27.53 D  
Common Stock Options 03/14/2022 (5) 03/14/2029 Common Stock 24,284 35.98 D  
Common Stock Options 06/14/2021 (5) 06/14/2028 Common Stock 2,368 29.8 D  
Common Stock Options 03/15/2021 (5) 03/14/2028 Common Stock 10,015 16.15 D  
Common Stock Options 03/21/2020 (5) 03/21/2027 Common Stock 10,000 9.3 D  
Common Stock Options 04/04/2019 (5) 04/04/2026 Common Stock 10,000 7.36 D  
Explanation of Responses:
1. Of these, 9,917 are restricted shares subject to forfeiture rights, of which 2,010 will vest on 03/07/2023, 769 will vest on 03/12/2023, 2,346 will vest on 03/20/2023, 2,011 will vest on 03/07/2024, 770 will vest on 03/12/2024, and 2,011 will vest on 03/07/2025.
2. The options become exercisable as follows: 1/3 on 3/7/2023 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 3/7/2025.
3. The options become exercisable as follows: 1/3 on 3/12/2022 and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 3/12/2024.
4. The options become exercisable as follows: 1/3 on 3/20/2021, and the remaining 2/3 of such options shall become exercisable over the following 24 months in equal amounts on a monthly basis. In the event the options do not evenly divide into 24 months, the remaining balance of options granted shall become exercisable on 3/20/2023.
5. All options became exercisable on or before the stated date.
/s/Samuel Gesten as Attorney-in-Fact for Robert Studholme 07/05/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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Power of Attorney

       Know all by these presents, that the undersigned hereby makes, 
constitutes and appoints Samuel J. Gesten and Patrick Williams, and each of 
them acting singly, as the undersigned's true and lawful attorney-in-fact, 
with full power and authority as hereinafter described on behalf of and in 
the name, place and stead of the undersigned to:

       (1)  prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 
(including any amendments thereto) with respect to the securities of STAAR 
Surgical Company, a Delaware corporation (the "Company"), with the United 
States Securities and Exchange Commission, any national securities exchanges 
and the Company, as considered necessary or advisable under Section 16(a) of 
the Securities Exchange Act of 1934 and the rules and regulations promulgated 
thereunder, as amended from time to time (the "Exchange Act");

       (2)  seek or obtain, as the undersigned's representative and on the 
undersigned's behalf, information on transactions in the Company's securities 
from any third party, including brokers, employee benefit plan administrators 
and trustees, and the undersigned hereby authorizes any such person to 
release any such information to the undersigned and approves and ratifies any 
such release of information; and

       (3)  perform any and all other acts which in the discretion of such 
attorney-in-fact are necessary or desirable for and on behalf of the 
undersigned in connection with the foregoing.

       The undersigned acknowledges that:

       (1)  this Power of Attorney authorizes, but does not require, such 
attorney-in-fact to act in its discretion on information provided to such 
attorney-in-fact without independent verification of such information;

       (2)  any documents prepared and/or executed by such attorney-in-fact on 
behalf of the undersigned pursuant to this Power of Attorney will be in such 
form and will contain such information and disclosure as such attorney-in-
fact, in his or her discretion, deems necessary or desirable;

       (3)  neither the Company nor such attorney-in-fact assumes (i) any 
liability for the undersigned's responsibility to comply with the requirement 
of the Exchange Act, (ii) any liability of the undersigned for any failure to 
comply with such requirements, or (iii) any obligation or liability of the 
undersigned for profit disgorgement under Section 16(b) of the Exchange Act; 
and

       (4)  this Power of Attorney does not relieve the undersigned from 
responsibility for compliance with the undersigned's obligations under the 
Exchange Act, including without limitation the reporting requirements under 
Section 16 of the Exchange Act.

       The undersigned hereby gives and grants the foregoing attorney-in-fact 
full power and authority to do and perform all and every act and thing 
whatsoever requisite, necessary or appropriate to be done in and about the 
foregoing matters as fully to all intents and purposes as the undersigned 
might or could do if present, hereby ratifying all that such attorney-in-fact 
of, for and on behalf of the undersigned, shall lawfully do or cause to be 
done by virtue of this Power of Attorney.

       This Power of Attorney shall remain in full force and effect until 
revoked by the undersigned in a signed writing delivered to such attorney-in-
fact.

       IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney 
to be executed as of this 5th day of July, 2022.

ROBERT STUDHOLME

/s/Robert Studholme  
   Signature




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