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