0001209191-21-064357.txt : 20211112 0001209191-21-064357.hdr.sgml : 20211112 20211112193832 ACCESSION NUMBER: 0001209191-21-064357 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211110 FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 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: 211405652 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 2021-11-10 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 2021-11-10 4 S 0 6087 5.67 D 146720 D Disposition of shares to satisfy the Reporting Person's tax withholding obligation upon the vesting of 25,000 Restricted Stock Units. /s/ Caroline F. Van Hove 2021-11-12