0001593968-24-000828.txt : 20240606
0001593968-24-000828.hdr.sgml : 20240606
20240606202245
ACCESSION NUMBER: 0001593968-24-000828
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240605
FILED AS OF DATE: 20240606
DATE AS OF CHANGE: 20240606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CHAI CHRISTOPHER Y
CENTRAL INDEX KEY: 0001413823
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39635
FILM NUMBER: 241026979
MAIL ADDRESS:
STREET 1: 2400 BAYSHORE PARKWAY
STREET 2: SUITE 200
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Surrozen, Inc./DE
CENTRAL INDEX KEY: 0001824893
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 301374889
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
X0508
4
2024-06-05
0001824893
Surrozen, Inc./DE
SRZN
0001413823
CHAI CHRISTOPHER Y
C/O SURROZEN, INC.
171 OYSTER POINT BLVD., SUITE 400
SOUTH SAN FRANCISCO
CA
94080
true
false
false
false
false
Option (right to buy)
11
2024-06-05
4
A
false
1333
0
A
2025-06-05
2034-06-05
Common Stock
1333
1333
D
The options vest and become exercisable on the anniversary of the grant date, subject to continuous service as a director.
/s/Charles Williams, Attorney-in-Fact for Christopher Chai
2024-06-06