0001415889-24-018085.txt : 20240625 0001415889-24-018085.hdr.sgml : 20240625 20240625083014 ACCESSION NUMBER: 0001415889-24-018085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240621 FILED AS OF DATE: 20240625 DATE AS OF CHANGE: 20240625 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mills C Randal CENTRAL INDEX KEY: 0001370939 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39577 FILM NUMBER: 241066199 MAIL ADDRESS: STREET 1: 18366 CALLE STELLINA CITY: RANCHO SANTA FE STATE: CA ZIP: 92091 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ELUTIA INC. CENTRAL INDEX KEY: 0001708527 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] ORGANIZATION NAME: 03 Life Sciences 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 FORMER COMPANY: FORMER CONFORMED NAME: AZIYO BIOLOGICS, INC. DATE OF NAME CHANGE: 20170605 4 1 form4-06252024_080604.xml X0508 4 2024-06-21 0001708527 ELUTIA INC. ELUT 0001370939 Mills C Randal C/O ELUTIA INC. 12510 PROSPERITY DRIVE, SUITE 370 SILVER SPRING MD 20904 true true false false PRESIDENT AND CEO 0 Class A Common Stock 2024-06-21 4 M 0 22473 A 137986 D Class A Common Stock 2024-06-21 4 F 0 8019 3.50 D 129967 D Restricted Stock Units 2024-06-21 4 M 0 22473 0 D Class A Common Stock 22473 44946 D Transaction represents shares of the Issuer's Class A Common Stock received from the vesting of restricted stock units. Each restricted stock unit represents a contingent right to receive one share of Issuer Class A Common Stock. 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 2024-06-25