0001209191-22-007535.txt : 20220207 0001209191-22-007535.hdr.sgml : 20220207 20220207174716 ACCESSION NUMBER: 0001209191-22-007535 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220203 FILED AS OF DATE: 20220207 DATE AS OF CHANGE: 20220207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schmidt Andrew C CENTRAL INDEX KEY: 0001301466 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36709 FILM NUMBER: 22598658 MAIL ADDRESS: STREET 1: 1700 CARNEGIE AVE STREET 2: SUITE 100 CITY: SANTA ANA STATE: CA ZIP: 92705 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 2022-02-03 0 0001551693 Sientra, Inc. SIEN 0001301466 Schmidt Andrew C 420 S. FAIRVIEW AVENUE SANTA BARBARA CA 93117 0 1 0 0 Chief Financial Officer Common Stock 2022-02-03 4 A 0 15000 0.00 A 66613 D Subject to the reporting person's continued employment, the restricted stock units shall fully vest upon the filing of the 2022 10-K for Sientra, Inc. Each restricted stock unit represents a contingent right to receive one (1) share of Class A Common Stock of Sientra, Inc. /s/ Andrew C. Schmidt 2022-02-07