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