0001593968-23-001517.txt : 20231218
0001593968-23-001517.hdr.sgml : 20231218
20231218212313
ACCESSION NUMBER: 0001593968-23-001517
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231215
FILED AS OF DATE: 20231218
DATE AS OF CHANGE: 20231218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Parker Craig C
CENTRAL INDEX KEY: 0001526064
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39635
FILM NUMBER: 231495456
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]
ORGANIZATION NAME: 03 Life Sciences
IRS NUMBER: 301374889
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
2023-12-15
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
false
Common Stock
2023-12-15
4
A
false
2046
5.67
A
2046
D
This reporting person is voluntarily reporting these shares acquired under the Surrozen, Inc. 2021 Employee Stock Purchase Plan in transactions that were exempt under both Rule 16b-3(d) and Rule 16b-3(c).
On December 13, 2023, Surrozen, Inc. effected a one-for-fifteen reverse stock split of its outstanding common stock (the "Reverse Stock Split"). All amounts of securities listed herein have been adjusted to reflect the effect of the Reverse Stock Split.
/s/Charles Williams, Attorney-in-Fact for Craig C Parker
2023-12-18