0001209191-21-040771.txt : 20210615
0001209191-21-040771.hdr.sgml : 20210615
20210615201352
ACCESSION NUMBER: 0001209191-21-040771
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210610
FILED AS OF DATE: 20210615
DATE AS OF CHANGE: 20210615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sullivan Keith J
CENTRAL INDEX KEY: 0001417973
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36709
FILM NUMBER: 211020199
MAIL ADDRESS:
STREET 1: C/O RELIANT TECHNOLOGIES, INC.
STREET 2: 464 ELLIS STREET
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Sientra, Inc.
CENTRAL INDEX KEY: 0001551693
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 205551000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 420 SOUTH FAIRVIEW AVENUE
STREET 2: SUITE 200
CITY: SANTA BARBARA
STATE: CA
ZIP: 93117
BUSINESS PHONE: 805-562-3500
MAIL ADDRESS:
STREET 1: 420 SOUTH FAIRVIEW AVENUE
STREET 2: SUITE 200
CITY: SANTA BARBARA
STATE: CA
ZIP: 93117
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-10
0
0001551693
Sientra, Inc.
SIEN
0001417973
Sullivan Keith J
420 FAIRVIEW AVENUE, SUITE 200
SANTA BARBARA
CA
93117
1
0
0
0
Common Stock
2021-06-10
4
A
0
16870
0.00
A
267048
D
The Restricted Stock Units shall vest on the earlier to occur of: (i) the day prior to the 2022 Annual Shareholders Meeting or (ii) on the one (1) year anniversary of the Annual Shareholders Meeting on which the Restricted Stock Award was granted, subject to continued service.
Each restricted stock unit represents a contingent right to receive one share of Sientra, Inc. Class A Common Stock.
/s/ Keith J. Sullivan, by Oliver Bennett, as Attorney-in-Fact
2021-06-15