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