0000899243-21-015713.txt : 20210414
0000899243-21-015713.hdr.sgml : 20210414
20210414090234
ACCESSION NUMBER: 0000899243-21-015713
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210412
FILED AS OF DATE: 20210414
DATE AS OF CHANGE: 20210414
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CURTIS NICHOLAS T
CENTRAL INDEX KEY: 0001230265
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39473
FILM NUMBER: 21824637
MAIL ADDRESS:
STREET 1: C/O STAAR SURGICAL CO
STREET 2: 1911 WALKER AVE
CITY: MONROVIA
STATE: CA
ZIP: 91016
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
2021-04-12
0
0001320350
LENSAR, Inc.
LNSR
0001230265
CURTIS NICHOLAS T
C/O LENSAR, INC.
2800 DISCOVERY DRIVE
ORLANDO
FL
32826
1
1
0
0
Chief Executive Officer
Stock Option (Right to Buy)
6.91
2021-04-12
4
A
0
98394
0.00
A
2031-04-12
Common Stock
98394
98394
D
The option vests as to 25% of the award on April 12, 2022 and, as to the remaining amount of the award, in thirty-six (36) substantially equal monthly installments thereafter, subject to the Reporting Person's continued service to the Issuer through the applicable vesting date.
/s/ Thomas R. Staab, II, attorney-in-fact
2021-04-14