SEC Form 4 · accession 0001179110-15-012248
Sientra, Inc. · SIEN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nicholas Simon
Director · 10% Owner
Period of report
Jun 26, 2015
Accepted (ET)
Aug 17, 2015 · 7:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001551693
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $25.18 | Jun 26, 2015 | A | 7,037 | A | — | Jun 26, 2025 | Common Stock | 7,037 | 7,037 | D |
Explanation of responses
- F1This stock option grant will vest in 12 equal monthly installments following the grant date of June 26, 2015, subject to continued service as a director.
Remarks
Mr. Simon is a managing director of Clarus Ventures I, LLC and may be deemed to beneficially own certain of the shares held of record by Clarus Lifesciences I, L.P., or Clarus I. Mr. Simon disclaims beneficial ownership of all shares held of record by Clarus I, except to the extent of his pecuniary interest therein. Clarus Lifesciences I Management, L.P., or Clarus Ventures I GP, L.P., is the sole general partner of Clarus I. Clarus Ventures I, LLC is the sole general partner of Clarus Ventures I GP, L.P.