0000899243-17-017256.txt : 20170626
0000899243-17-017256.hdr.sgml : 20170626
20170626193138
ACCESSION NUMBER: 0000899243-17-017256
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170622
FILED AS OF DATE: 20170626
DATE AS OF CHANGE: 20170626
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: SCHAISON PHILIPPE
CENTRAL INDEX KEY: 0001637140
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36709
FILM NUMBER: 17930928
MAIL ADDRESS:
STREET 1: C/O ACTAVIS PLC MORRIS CORP CENTER III
STREET 2: 400 INTERPACE PARKWAY
CITY: PARSIPPANY
STATE: NJ
ZIP: 07054
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-06-22
0
0001551693
Sientra, Inc.
SIEN
0001637140
SCHAISON PHILIPPE
C/O 420 SOUTH FAIRVIEW, SUITE 200
SANTA BARBARA
CA
1
0
0
0
Common Stock
2017-06-22
4
A
0
12861
9.72
A
30302
D
The common stock underlying this grant of restricted stock will vest on the earlier to occur of: (i) day prior to the annual meeting of stockholders for the year following the date of grant, or (ii) the one-year anniversary of the annual meeting of stockholders of the year of grant, subject to continued service as a director.
/s/ Philippe Schaison
2017-06-26