0001593968-22-001111.txt : 20220609
0001593968-22-001111.hdr.sgml : 20220609
20220609175143
ACCESSION NUMBER: 0001593968-22-001111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220607
FILED AS OF DATE: 20220609
DATE AS OF CHANGE: 20220609
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WOODHOUSE DAVID J
CENTRAL INDEX KEY: 0001642995
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39635
FILM NUMBER: 221007076
MAIL ADDRESS:
STREET 1: 630 GATEWAY BLVD.
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
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
2022-06-07
0001824893
Surrozen, Inc./DE
SRZN
0001642995
WOODHOUSE DAVID J
C/O SURROZEN, INC.
171 OYSTER POINT BLVD., SUITE 400
SOUTH SAN FRANCISCO
CA
94080
true
false
false
false
Option (right to buy)
2.79
2022-06-07
4
A
false
20000
0
A
2023-06-07
2032-06-07
Surrozen, Inc. Common Stock
20000
20000
D
The options fully vest and become exercisable on the one-year anniversary of the grant date, subject to the reporting person's continuous service as a director.
/s/Sheela Mohan-Peterson, Attorney-in-Fact for David J. Woodhouse, Ph.D.
2022-06-09