0000950170-23-055247.txt : 20231025 0000950170-23-055247.hdr.sgml : 20231025 20231025165131 ACCESSION NUMBER: 0000950170-23-055247 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231023 FILED AS OF DATE: 20231025 DATE AS OF CHANGE: 20231025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davin Michael R CENTRAL INDEX KEY: 0001345975 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41767 FILM NUMBER: 231346586 MAIL ADDRESS: STREET 1: C/O CYNOSURE, INC. STREET 2: 5 CARLISLE ROAD CITY: WESTFORD STATE: MA ZIP: 01886 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALLURION TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001964979 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 11 HURON DR STE 200 CITY: NATICK STATE: MA ZIP: 01760 BUSINESS PHONE: 508-647-4000 MAIL ADDRESS: STREET 1: 11 HURON DR STE 200 CITY: NATICK STATE: MA ZIP: 01760 FORMER COMPANY: FORMER CONFORMED NAME: ALLURION TECHNOLOGIES HOLDINGS, INC. DATE OF NAME CHANGE: 20230207 4 1 ownership.xml 4 X0508 4 2023-10-23 0001964979 ALLURION TECHNOLOGIES, INC. ALUR 0001345975 Davin Michael R C/O ALLURION TECHNOLOGIES, INC. 11 HURON DRIVE NATICK MA 01760 true false false false false Common Stock 2023-10-23 4 A false 45235 0 A 110422 D The shares reported in this transaction represent an initial, one-time grant of Restricted Stock Units ("RSUs") issued pursuant to the Issuer's non-employee director compensation policy and the Allurion Technologies, Inc. 2023 Stock Option and Incentive Plan. Each RSU represents the contingent right to receive one share of the Issuer's common stock. The RSUs shall vest in equal annual installments over three years from October 23, 2023, subject to the Reporting Person's continued service as a director of the Issuer on each such vesting date. /s/ Jennifer Ausrotas, attorney-in-fact 2023-10-25