0000899243-23-014072.txt : 20230530
0000899243-23-014072.hdr.sgml : 20230530
20230530165720
ACCESSION NUMBER: 0000899243-23-014072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230525
FILED AS OF DATE: 20230530
DATE AS OF CHANGE: 20230530
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LINDSTROM RICHARD L MD
CENTRAL INDEX KEY: 0001242177
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39473
FILM NUMBER: 23977400
MAIL ADDRESS:
STREET 1: 2811 WESTWOOD PL
CITY: WAYZATA
STATE: MN
ZIP: 55391
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LENSAR, Inc.
CENTRAL INDEX KEY: 0001320350
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 320125724
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2800 DISCOVERY DRIVE
STREET 2: SUITE 100
CITY: ORLANDO
STATE: FL
ZIP: 32826
BUSINESS PHONE: 888-536-7271
MAIL ADDRESS:
STREET 1: 2800 DISCOVERY DRIVE
STREET 2: SUITE 100
CITY: ORLANDO
STATE: FL
ZIP: 32826
FORMER COMPANY:
FORMER CONFORMED NAME: LensAR Inc
DATE OF NAME CHANGE: 20070703
FORMER COMPANY:
FORMER CONFORMED NAME: LaserSoft Vision Inc
DATE OF NAME CHANGE: 20050310
4
1
doc4.xml
FORM 4 SUBMISSION
X0407
4
2023-05-25
0
0001320350
LENSAR, Inc.
LNSR
0001242177
LINDSTROM RICHARD L MD
C/O LENSAR, INC.
2800 DISCOVERY DRIVE
ORLANDO
FL
32826
1
0
0
0
0
Common Stock
2023-05-25
4
A
0
9288
0.00
A
217036
D
Stock Option (Right to Buy)
3.23
2023-05-25
4
A
0
33175
0.00
A
2033-05-25
Common Stock
33175
33175
D
Consists of restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of LENSAR, Inc. common stock. The RSUs vest in full on May 25, 2024, subject to the Reporting Person's continued service to the Issuer through the vesting date. The RSUs were granted in accordance with the Issuer's non-employee director compensation program as a component of the Reporting Person's annual compensation for service to the Issuer.
The option vests in twelve (12) substantially equal monthly installments commencing June 25, 2023, subject to the Reporting Person's continued service to the Issuer through the applicable vesting date. The option was granted in accordance with the Issuer's non-employee director compensation program as a component of the Reporting Person's annual compensation for service to the Issuer.
/s/ Thomas R. Staab, II, attorney-in-fact
2023-05-30