0001179110-17-006000.txt : 20170414 0001179110-17-006000.hdr.sgml : 20170414 20170414145815 ACCESSION NUMBER: 0001179110-17-006000 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170412 FILED AS OF DATE: 20170414 DATE AS OF CHANGE: 20170414 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: 805.679.8838 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: 17762787 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 2017-04-12 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 Common Stock (RSU) 2017-04-12 4 A 0 180000 0 A 197993 D These restricted stock units vest in multiple installments over time as follows: (1) 60,000 vest immediately upon grant; (2) 60,000 vest (i) 20,000 on January 1, 2018, (ii) 20,000 on January 1, 2019 and (iii) 20,000 on January 1, 2020; and (3) 60,000 vest (i) 20,000 when the consecutive 30 day average closing price of the Issuer's Common Stock, as quoted on NASDAQ, is $15 per share, (ii) 20,000 when the consecutive 30 day average closing price of the Issuer's Common Stock, as quoted on NASDAQ, is $20 per share, and (iii) 20,000 when the consecutive 30 day average closing price of the Issuer's Common Stock, as quoted on NASDAQ, is $25 per share. Vesting subject to Reporting Person's continuous service. Jeffrey M. Nugent 2017-04-14