0001415889-23-010225.txt : 20230623
0001415889-23-010225.hdr.sgml : 20230623
20230623113051
ACCESSION NUMBER: 0001415889-23-010225
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230621
FILED AS OF DATE: 20230623
DATE AS OF CHANGE: 20230623
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mills C Randal
CENTRAL INDEX KEY: 0001370939
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39577
FILM NUMBER: 231035956
MAIL ADDRESS:
STREET 1: 18366 CALLE STELLINA
CITY: RANCHO SANTA FE
STATE: CA
ZIP: 92091
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
form4-06232023_030647.xml
X0407
4
2023-06-21
0001708527
AZIYO BIOLOGICS, INC.
AZYO
0001370939
Mills C Randal
C/O AZIYO BIOLOGICS, INC.
12510 PROSPERITY DRIVE, SUITE 370
SILVER SPRING
MD
20904
true
true
false
false
PRESIDENT AND CEO
0
Class A Common Stock
2023-06-21
4
M
0
22474
A
70482
D
Class A Common Stock
2023-06-21
4
F
0
7772
2.41
D
62710
D
Restricted Stock Units
2023-06-21
4
M
0
22474
0
D
Class A Common Stock
22474
67419
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A Common Stock. Transaction represents shares of the Issuer's Class A Common Stock received from the vesting of restricted stock units.
Shares withheld by the Issuer to satisfy tax withholding requirements on vesting of restricted stock units.
On June 21, 2022, the Reporting Person was granted 89,893 restricted stock units, vesting in four substantially equal annual installments beginning in June 21, 2023.
/s/ Jeffrey Hamet, Attorney-in-Fact for C. Randal Mills
2023-06-23