0001593968-23-000390.txt : 20230302
0001593968-23-000390.hdr.sgml : 20230302
20230302130342
ACCESSION NUMBER: 0001593968-23-000390
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230301
FILED AS OF DATE: 20230302
DATE AS OF CHANGE: 20230302
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Parker Craig C
CENTRAL INDEX KEY: 0001526064
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39635
FILM NUMBER: 23697640
MAIL ADDRESS:
STREET 1: 21 BEVERLY TERRACE
CITY: MILL VALLEY
STATE: CA
ZIP: 94941
FORMER NAME:
FORMER CONFORMED NAME: Parker Craig C.
DATE OF NAME CHANGE: 20150730
FORMER NAME:
FORMER CONFORMED NAME: Parker Craig C
DATE OF NAME CHANGE: 20110718
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
2023-03-01
0001824893
Surrozen, Inc./DE
SRZN
0001526064
Parker Craig C
C/O SURROZEN, INC.
171 OYSTER POINT BLVD., SUITE 400
SOUTH SAN FRANCISCO
CA
94080
true
true
false
false
Chief Executive Officer
Option (right to buy)
1.13
2023-03-01
4
A
false
405000
0
A
2023-02-01
2033-03-01
Common Stock
405000
405000
D
The shares subject to the options vest and become exercisable in a series of 48 equal monthly installments beginning on 2/1/2023, subject to the reporting person's continued employment through the applicable vesting date.
/s/Sheela Mohan-Peterson, Attorney-in-fact for Craig Parker
2023-03-02