0000899243-21-020138.txt : 20210520
0000899243-21-020138.hdr.sgml : 20210520
20210520161526
ACCESSION NUMBER: 0000899243-21-020138
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210518
FILED AS OF DATE: 20210520
DATE AS OF CHANGE: 20210520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LINDSTROM RICHARD L MD
CENTRAL INDEX KEY: 0001242177
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39473
FILM NUMBER: 21944635
MAIL ADDRESS:
STREET 1: 2811 WESTWOOD PL
CITY: WAYZATA
STATE: MN
ZIP: 55391
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LENSAR, Inc.
CENTRAL INDEX KEY: 0001320350
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 320125724
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2800 DISCOVERY DRIVE
STREET 2: SUITE 100
CITY: ORLANDO
STATE: FL
ZIP: 32826
BUSINESS PHONE: 888-536-7271
MAIL ADDRESS:
STREET 1: 2800 DISCOVERY DRIVE
STREET 2: SUITE 100
CITY: ORLANDO
STATE: FL
ZIP: 32826
FORMER COMPANY:
FORMER CONFORMED NAME: LensAR Inc
DATE OF NAME CHANGE: 20070703
FORMER COMPANY:
FORMER CONFORMED NAME: LaserSoft Vision Inc
DATE OF NAME CHANGE: 20050310
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-18
0
0001320350
LENSAR, Inc.
LNSR
0001242177
LINDSTROM RICHARD L MD
C/O LENSAR, INC.
2800 DISCOVERY DRIVE
ORLANDO
FL
32826
1
0
0
0
Stock Option (Right to Buy)
7.49
2021-05-18
4
A
0
20847
0.00
A
2031-05-18
Common Stock
20847
20847
D
The option vests in twelve (12) substantially equal monthly installments commencing June 18, 2021, subject to the Reporting Person's continued service to the Issuer through the applicable vesting date.
/s/ Thomas R. Staab, II, attorney-in-fact
2021-05-20