X0306 4 2021-03-31 0 0000876378 ASENSUS SURGICAL, INC. ASXC 0001200796 PFENNIGER RICHARD C JR C/O ASENSUS SURGICAL, INC. 1 TW ALEXANDER DRIVE, SUITE 160 DURHAM NC 27703 1 0 0 0 Common Stock 2021-03-31 4 A 0 4242 0.00 A 80474 D Represents an equity award issued under the Registrant's Amended and Restated Incentive Compensation Plan in lieu of an annual cash retainer, paid quarterly in arrears for the quarter ended March 31, 2021. /s/ Joshua Weingard, as attorney-in-fact for Richard C. Pfenniger 2021-04-02