0000950170-24-057100.txt : 20240509
0000950170-24-057100.hdr.sgml : 20240509
20240509163042
ACCESSION NUMBER: 0000950170-24-057100
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240507
FILED AS OF DATE: 20240509
DATE AS OF CHANGE: 20240509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ELLIS THOMAS B
CENTRAL INDEX KEY: 0001283774
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39473
FILM NUMBER: 24931232
MAIL ADDRESS:
STREET 1: 867 BOYLSTON STREET, 5TH FLOOR
STREET 2: #1361
CITY: BOSTON
STATE: MA
ZIP: 02116
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LENSAR, Inc.
CENTRAL INDEX KEY: 0001320350
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
ownership.xml
4
X0508
4
2024-05-07
false
0001320350
LENSAR, Inc.
LNSR
0001283774
ELLIS THOMAS B
2800 DISCOVERY DRIVE
ORLANDO
FL
32826
true
false
true
false
false
Common Stock
2024-05-07
4
A
false
22000
0.00
A
31288
D
Common Stock
1100592
I
See Footnotes
Consists of restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of LENSAR, Inc. common stock. The RSUs vest in
full on May 7, 2025, subject to the Reporting Person's continued service to the Issuer through the vesting date, and will be settled in the first quarter of 2029. The RSUs were granted in accordance with
the Issuer's non-employee director compensation program as a component of the Reporting Person's annual compensation for service to the Issuer.
The reported securities are directly held by North Run Capital, LP, and may be deemed to be indirectly beneficially owned by North Run Advisors, LLC as
the general partner of North Run Capital, LP. The reported securities may also be deemed to be indirectly beneficially owned by the Reporting Person as a
member of North Run Advisors, LLC.
The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not
be deemed an admission of beneficial ownership of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any
other purpose.
/s/ Thomas R. Staab, II, attorney-in-fact
2024-05-09