0000899243-23-001791.txt : 20230113 0000899243-23-001791.hdr.sgml : 20230113 20230113172317 ACCESSION NUMBER: 0000899243-23-001791 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230111 FILED AS OF DATE: 20230113 DATE AS OF CHANGE: 20230113 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: 23529683 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 2023-01-11 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 Common Stock 2023-01-11 4 A 0 8490 0.00 A 20899 D Stock Option (Right to Buy) 2.65 2023-01-11 4 A 0 16900 0.00 A 2033-01-11 Common Stock 16900 16900 D Consists of restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of LENSAR, Inc. common stock. The RSUs vest as to 15% of the award on July 11, 2023, 15% of the award on January 11, 2024, 25% of the award on July 11, 2024 and, as to the remaining 45% of the award, on January 11, 2025, subject to the Reporting Person's continued service to the Issuer through the applicable vesting date. Includes 5,073 shares acquired under the Issuer's Employee Stock Purchase Plan since January 13, 2022, the date of the last Form 4 filed by the Reporting Person. The option vests as to 25% of the award on January 11, 2024 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 2023-01-13