0001179110-15-012245.txt : 20150817 0001179110-15-012245.hdr.sgml : 20150817 20150817191422 ACCESSION NUMBER: 0001179110-15-012245 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150626 FILED AS OF DATE: 20150817 DATE AS OF CHANGE: 20150817 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: Haines Timothy CENTRAL INDEX KEY: 0001526068 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36709 FILM NUMBER: 151059909 MAIL ADDRESS: STREET 1: 38 JERMYN STREET CITY: LONDON STATE: X0 ZIP: SW1Y 6DN 4 1 edgar.xml FORM 4 - X0306 4 2015-06-26 0 0001551693 Sientra, Inc. SIEN 0001526068 Haines Timothy C/O ABINGWORTH LLP, 38 JERMYN STREET LONDON X0 SW1Y 6DN UNITED KINGDOM 1 0 1 0 Stock Option (right to buy) 25.18 2015-06-26 4 A 0 7037 0 A 2025-06-26 Common Stock 7037 7037 D This stock option grant will vest in 12 equal monthly installments following the grant date of June 26, 2015, subject to continued service as a director. /s/ Joel Smith, Attorney-in-fact for Timothy Haines 2015-08-17