0000950170-24-070102.txt : 20240606 0000950170-24-070102.hdr.sgml : 20240606 20240606192124 ACCESSION NUMBER: 0000950170-24-070102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240605 FILED AS OF DATE: 20240606 DATE AS OF CHANGE: 20240606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: REED JAN STERN CENTRAL INDEX KEY: 0001124181 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39059 FILM NUMBER: 241026863 MAIL ADDRESS: STREET 1: C/O JAN STERN REED BAXTER INTERNATIONAL STREET 2: ONE BAXTER PARKWAY DF2 2W CITY: DEERFIELD STATE: IL ZIP: 60015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AVITA Medical, Inc. CENTRAL INDEX KEY: 0001762303 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 202578762 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 28159 AVENUE STANFORD STREET 2: SUITE 220 CITY: VALENCIA STATE: CA ZIP: 91355 BUSINESS PHONE: 661-568-1317 MAIL ADDRESS: STREET 1: 28159 AVENUE STANFORD STREET 2: SUITE 220 CITY: VALENCIA STATE: CA ZIP: 91355 FORMER COMPANY: FORMER CONFORMED NAME: Avita Therapeutics, Inc. DATE OF NAME CHANGE: 20200630 FORMER COMPANY: FORMER CONFORMED NAME: Avita Medical, Ltd. DATE OF NAME CHANGE: 20181218 4 1 ownership.xml 4 X0508 4 2024-06-05 false 0001762303 AVITA Medical, Inc. RCEL 0001124181 REED JAN STERN C/O AVITA MEDICAL 28159 AVENUE STANFORD SUITE 220 - AVITA MEDICAL VALENCIA CA 91355 true false false false false Common Stock 2024-06-05 4 A false 9200 A 40989 D Stock Options (Right to Buy) 9.51 2024-06-05 4 A false 3943 0 A 2025-06-05 2034-06-05 Common Stock 3943 3943 D Represents an award of RSUs, each representing a contingent right to be issued one share of Common Stock, that are subject to time-based vesting criteria. These RSUs vest on the date 12 months following the grant date. Includes unvested RSUs. /s/ Donna Shiroma 2024-06-06