0000899243-22-001921.txt : 20220113 0000899243-22-001921.hdr.sgml : 20220113 20220113172013 ACCESSION NUMBER: 0000899243-22-001921 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220111 FILED AS OF DATE: 20220113 DATE AS OF CHANGE: 20220113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wong Kendra CENTRAL INDEX KEY: 0001903906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39473 FILM NUMBER: 22529802 MAIL ADDRESS: STREET 1: C/O LENSAR, INC. STREET 2: 2800 DISCOVERY DRIVE, SUITE 100 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 2022-01-11 0 0001320350 LENSAR, Inc. LNSR 0001903906 Wong Kendra C/O LENSAR, INC. 2800 DISCOVERY DRIVE ORLANDO FL 32826 0 1 0 0 Principal Accounting Officer Stock Option (Right to Buy) 6.04 2022-01-11 4 A 0 21970 0.00 A 2032-01-11 Common Stock 21970 21970 D The option vests as to 25% of the award on January 11, 2023 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 2022-01-13