0001104659-22-026854.txt : 20220224 0001104659-22-026854.hdr.sgml : 20220224 20220224203733 ACCESSION NUMBER: 0001104659-22-026854 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220222 FILED AS OF DATE: 20220224 DATE AS OF CHANGE: 20220224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dean Dennis CENTRAL INDEX KEY: 0001650312 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40973 FILM NUMBER: 22673910 MAIL ADDRESS: STREET 1: 40 BURTON HILLS BOULEVARD SUITE 500 CITY: NASHVILLE STATE: TN ZIP: 37215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Airsculpt Technologies, Inc. CENTRAL INDEX KEY: 0001870940 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-OFFICES & CLINICS OF DOCTORS OF MEDICINE [8011] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 ALTON ROAD, UNIT TH-103M CITY: MIAMI BEACH STATE: FL ZIP: 33139 BUSINESS PHONE: (786) 709-9690 MAIL ADDRESS: STREET 1: 400 ALTON ROAD, UNIT TH-103M CITY: MIAMI BEACH STATE: FL ZIP: 33139 4 1 tm227445-3_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-02-22 0 0001870940 Airsculpt Technologies, Inc. AIRS 0001650312 Dean Dennis C/O AIRSCULPT TECHNOLOGIES, INC. 400 ALTON ROAD, UNIT TH-103M MIAMI BEACH FL 33139 0 1 0 0 Chief Financial Officer Common Stock, $0.001 Par Value 2022-02-22 4 A 0 81142 0 A 567993 D As previously disclosed, the Reporting Person was granted an award of 486,851 performance stock units ("PSUs") on November 4, 2021 pursuant to the Issuer's 2021 Equity Incentive Plan. Under the terms of the PSU award, 50% of the PSUs vest proportionally based on the achievement of three different stock price performance goals, and the other 50% of the PSUs vest based on the achievement of a net revenue performance goal. On February 22, 2022, the Issuer's Compensation Committee certified that the stock price performance goal for 81,142 of the PSUs had been achieved. /s/ Thomas P. Conaghan, Attorney-in-Fact 2022-02-24