0000899243-20-027748.txt : 20201007 0000899243-20-027748.hdr.sgml : 20201007 20201007190058 ACCESSION NUMBER: 0000899243-20-027748 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201006 FILED AS OF DATE: 20201007 DATE AS OF CHANGE: 20201007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Winer Gary M CENTRAL INDEX KEY: 0001822095 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39473 FILM NUMBER: 201229858 MAIL ADDRESS: STREET 1: C/O LENSAR, INC. STREET 2: 2800 DISCOVERY DRIVE CITY: ORLANDO STATE: FL ZIP: 32826 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 2020-10-06 0 0001320350 LENSAR, Inc. LNSR 0001822095 Winer Gary M C/O LENSAR, INC. 2800 DISCOVERY DRIVE ORLANDO FL 32826 1 0 0 0 Common Stock 2020-10-06 4 A 0 51 0.00 A 21241 D Represents shares acquired from the Issuer as a result of a provision contained in the Reporting Person's restricted stock award agreement intended to maintain certain target ownership percentages of the Issuer's common stock in connection with the spin-off transaction. Includes 20,130 shares of restricted stock. /s/ Thomas R. Staab, II, Attorney-in-Fact for Gary M. Winer 2020-10-07