0001209191-21-047648.txt : 20210721 0001209191-21-047648.hdr.sgml : 20210721 20210721203836 ACCESSION NUMBER: 0001209191-21-047648 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210716 FILED AS OF DATE: 20210721 DATE AS OF CHANGE: 20210721 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ebersole Nori CENTRAL INDEX KEY: 0001748293 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36709 FILM NUMBER: 211105731 MAIL ADDRESS: STREET 1: C/O UROVANT SCIENCES, INC. STREET 2: 5151 CALIFORNIA AVENUE, SUITE 250 CITY: IRVINE STATE: CA ZIP: 92617 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 2021-07-16 0 0001551693 Sientra, Inc. SIEN 0001748293 Ebersole Nori 420 S. FAIRVIEW SANTA BARBARA CA 93117 1 0 0 0 Common Stock 2021-07-16 4 A 0 20381 0.00 A 20381 D Subject to the reporting person's continued service, the restricted stock units shall vest in equal annual installments over a three (3) year period with the first vesting date being July 16, 2022, and vesting annually thereafter until fully vested. Each restricted stock unit represents a contingent right to receive one (1) share of Class A Common Stock of Sientra, Inc. /s/ Nori Ebersole 2021-07-21