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