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