0001209191-21-039908.txt : 20210611 0001209191-21-039908.hdr.sgml : 20210611 20210611170201 ACCESSION NUMBER: 0001209191-21-039908 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210609 FILED AS OF DATE: 20210611 DATE AS OF CHANGE: 20210611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Van Hove Caroline F. CENTRAL INDEX KEY: 0001799777 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36709 FILM NUMBER: 211012123 MAIL ADDRESS: STREET 1: 420 S. FAIRVIEW AVENUE STREET 2: SUITE 200 CITY: SANTA BARBARA STATE: CA ZIP: 93117 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 2021-06-09 0 0001551693 Sientra, Inc. SIEN 0001799777 Van Hove Caroline F. 420 S. FAIRVIEW AVENUE, SUITE 200 SANTA BARBARA CA 93117 1 0 0 1 Executive Chairman Common Stock 2021-06-09 4 F 0 6912 7.58 D 152807 D Disposition of shares to satisfy the Reporting Person's tax withholding obligation upon the vesting of 27,717 Restricted Stock Units. /s/ Caroline F. Van Hove, by Oliver Bennett, as Attorney in Fact 2021-06-11