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