0001104659-20-113578.txt : 20201008
0001104659-20-113578.hdr.sgml : 20201008
20201008202716
ACCESSION NUMBER: 0001104659-20-113578
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201007
FILED AS OF DATE: 20201008
DATE AS OF CHANGE: 20201008
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ferguson Matthew
CENTRAL INDEX KEY: 0001304079
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39577
FILM NUMBER: 201231904
MAIL ADDRESS:
STREET 1: C/O FOXHOLLOW TECHNOLOGIES, INC.
STREET 2: 740 BAY ROAD
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AZIYO BIOLOGICS, INC.
CENTRAL INDEX KEY: 0001708527
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 474790334
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12510 PROSPERITY DRIVE
STREET 2: SUITE 370
CITY: SILVER SPRING
STATE: MD
ZIP: 20904
BUSINESS PHONE: 240-247-1143
MAIL ADDRESS:
STREET 1: 12510 PROSPERITY DRIVE
STREET 2: SUITE 370
CITY: SILVER SPRING
STATE: MD
ZIP: 20904
4
1
a4.xml
4
X0306
4
2020-10-07
0
0001708527
AZIYO BIOLOGICS, INC.
AZYO
0001304079
Ferguson Matthew
C/O AZIYO BIOLOGICS, INC.
12510 PROSPERITY DRIVE, SUITE 370
SILVER SPRING
MD
20904
0
1
0
0
Chief Financial Officer
Stock Option (Right to Buy)
17.00
2020-10-07
4
A
0
81800
0.00
A
2030-10-06
Class A Common Stock
81800
81800
D
This option vests and becomes exercisable in 4 substantially equal annual installments on each of the successive years following October 7, 2020.
/s/ Ronald Lloyd, Attorney-in-fact for Matthew Brian Ferguson
2020-10-08