0001415889-21-004171.txt : 20210901 0001415889-21-004171.hdr.sgml : 20210901 20210901164530 ACCESSION NUMBER: 0001415889-21-004171 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210831 FILED AS OF DATE: 20210901 DATE AS OF CHANGE: 20210901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Edwards Peter G CENTRAL INDEX KEY: 0001578376 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39577 FILM NUMBER: 211230515 MAIL ADDRESS: STREET 1: C/O BAXALTA INCORPORATED STREET 2: 1200 LAKESIDE DRIVE CITY: BANNOCKBURN STATE: IL ZIP: 60015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AZIYO BIOLOGICS, INC. CENTRAL INDEX KEY: 0001708527 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] 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 4 1 form4-09012021_010913.xml X0306 4 2021-08-31 0001708527 AZIYO BIOLOGICS, INC. AZYO 0001578376 Edwards Peter G C/O AZIYO BIOLOGICS, INC. 12510 PROSPERITY DRIVE, SUITE 370 SILVER SPRING MD 20904 false true false false GENERAL COUNSEL Stock Option (Right to Buy) 8.25 2021-08-31 4 A 0 96200 0 A 2031-08-31 Class A Common Stock 96200 96200 D The option vests as to 25% of the shares on August 31, 2022 and in 12 equal quarterly installments thereafter, such that the option shall be fully vested and exercisable on August 31, 2025. /s/ Jeffrey Hamet, Attorney-in-Fact for Peter G. Edwards 2021-09-01