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