0001179110-16-017016.txt : 20160105 0001179110-16-017016.hdr.sgml : 20160105 20160105145857 ACCESSION NUMBER: 0001179110-16-017016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160101 FILED AS OF DATE: 20160105 DATE AS OF CHANGE: 20160105 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nugent Jeffrey M CENTRAL INDEX KEY: 0001455940 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36709 FILM NUMBER: 161321696 MAIL ADDRESS: STREET 1: 1875 SOUTH GRANT STREET, SUITE 110 CITY: SAN MATEO STATE: CA ZIP: 94402 4 1 edgar.xml FORM 4 - X0306 4 2016-01-01 0 0001551693 Sientra, Inc. SIEN 0001455940 Nugent Jeffrey M C/O 420 SOUTH FAIRVIEW, SUITE 200 SANTA BARBARA CA 93117 1 1 0 1 Chief Executive Officer Chairman of the Board Employee Stock Option (right to buy) 5.92 2016-01-01 4 A 0 241753 0 A 2026-01-01 Common Stock 241753 879811 D This stock option vests in equal monthly installments over a 48 month period commencing on the first month anniversary of January 1, 2016. Jeffrey M. Nugent 2016-01-05