0001593968-22-001521.txt : 20221013 0001593968-22-001521.hdr.sgml : 20221013 20221013060155 ACCESSION NUMBER: 0001593968-22-001521 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221010 FILED AS OF DATE: 20221013 DATE AS OF CHANGE: 20221013 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Charles O CENTRAL INDEX KEY: 0001325818 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39635 FILM NUMBER: 221308015 MAIL ADDRESS: STREET 1: C/O HERITAGE FINANCIAL GROUP STREET 2: 721 NORTH WESTOVER BOULEVARD CITY: ALBANY STATE: GA ZIP: 31707 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Surrozen, Inc./DE CENTRAL INDEX KEY: 0001824893 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 981556622 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 171 OYSTER POINT BLVD STREET 2: SUITE 400 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 650-475-2820 MAIL ADDRESS: STREET 1: 171 OYSTER POINT BLVD STREET 2: SUITE 400 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 FORMER COMPANY: FORMER CONFORMED NAME: Consonance-HFW Acquisition Corp. DATE OF NAME CHANGE: 20200915 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2022-10-10 0001824893 Surrozen, Inc./DE SRZN 0001325818 Williams Charles O C/O SURROZEN, INC. 171 OYSTER POINT BLVD., SUITE 400 SOUTH SAN FRANCISCO CA 94080 false true false false Chief Financial Officer Option (right to buy) 5.13 2022-10-10 4 D false 77972 D 2021-11-30 2030-12-13 Common Stock 77972 0 D Option (right to buy) 10.25 2022-10-10 4 D false 2433 D 2022-08-12 2031-08-12 Common Stock 2433 0 D Option (right to buy) 10.25 2022-10-10 4 D false 12164 D 2022-08-12 2031-08-12 Common Stock 12164 0 D Option (right to buy) 5.13 2022-10-10 4 D false 97676 D 2021-11-30 2030-12-13 Common Stock 97676 0 D Option (right to buy) 2.16 2022-10-10 4 A false 12164 A 2022-08-12 2031-08-12 Common Stock 12164 12164 D Option (right to buy) 2.16 2022-10-10 4 A false 97676 A 2021-11-30 2030-12-13 Common Stock 97676 97676 D Option (right to buy) 2.16 2022-10-10 4 A false 2433 A 2022-08-12 2031-08-12 Common Stock 2433 2433 D Option (right to buy) 2.16 2022-10-10 4 A false 77972 A 2021-11-30 2030-12-13 Common Stock 77972 77972 D The reporting person agreed to cancellation of an option granted to him on 12/14/2020, in exchange for a new option having a lower exercise price. Twenty-five percent of the shares subject to the Stock Option vests on 11/30/2021, and the remainder vests in 36 equal monthly installments thereafter for the following three years. The reporting person agreed to cancellation of an option granted to him on 8/12/2021, in exchange for a new option having a lower exercise price. Twenty-five percent of the shares subject to the Stock Option vests on 8/12/2022, and the remainder vests in 36 equal monthly installments thereafter for the following three years. /s/Sheela Mohan-Peterson, Attorney-in-Fact for Charles O. Williams 2022-10-12