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