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