0001209191-20-030256.txt : 20200518 0001209191-20-030256.hdr.sgml : 20200518 20200518195522 ACCESSION NUMBER: 0001209191-20-030256 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200501 FILED AS OF DATE: 20200518 DATE AS OF CHANGE: 20200518 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: 20891350 MAIL ADDRESS: STREET 1: 1875 SOUTH GRANT STREET, SUITE 110 CITY: SAN MATEO STATE: CA ZIP: 94402 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 2020-05-01 0 0001551693 Sientra, Inc. SIEN 0001455940 Nugent Jeffrey M 420 SOUTH FAIRVIEW AVENUE, SUITE 200 SANTA BARBARA CA 93117 1 1 0 0 Chairman of the Board and CEO Common Stock 2020-05-01 4 F 0 9315 2.52 D 200511 D Disposition to the Issuer of shares to satisfy the Reporting Person's tax withholding obligation upon the vesting of 22,500 Restricted Stock Units (RSUs) which is exempt under Rule 16b-3. /s/ Oliver Bennett, Attorney-in-Fact 2020-05-18