0000950170-24-081269.txt : 20240703
0000950170-24-081269.hdr.sgml : 20240703
20240703132615
ACCESSION NUMBER: 0000950170-24-081269
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240701
FILED AS OF DATE: 20240703
DATE AS OF CHANGE: 20240703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KELSEY NICOLE
CENTRAL INDEX KEY: 0001714653
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39059
FILM NUMBER: 241099279
MAIL ADDRESS:
STREET 1: AMYRIS, INC.
STREET 2: 5885 HOLLIS STREET, SUITE 100
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AVITA Medical, Inc.
CENTRAL INDEX KEY: 0001762303
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 202578762
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 28159 AVENUE STANFORD
STREET 2: SUITE 220
CITY: VALENCIA
STATE: CA
ZIP: 91355
BUSINESS PHONE: 661-568-1317
MAIL ADDRESS:
STREET 1: 28159 AVENUE STANFORD
STREET 2: SUITE 220
CITY: VALENCIA
STATE: CA
ZIP: 91355
FORMER COMPANY:
FORMER CONFORMED NAME: Avita Therapeutics, Inc.
DATE OF NAME CHANGE: 20200630
FORMER COMPANY:
FORMER CONFORMED NAME: Avita Medical, Ltd.
DATE OF NAME CHANGE: 20181218
3
1
ownership.xml
3
X0206
3
2024-07-01
0
0001762303
AVITA Medical, Inc.
RCEL
0001714653
KELSEY NICOLE
C/O AVITA MEDICAL, INC.
28159 AVENUE STANFORD, SUITE 200
VALENCIA
CA
91355
false
true
false
false
Chief Legal/Compliance Officer
Stock Options (Right to Buy)
7.72
2034-07-01
Common Stock
150000
D
These Stock Options vest in three equal annual installments beginning on the date 12 months following the grant date of July 1, 2024.
/s/ Nicole Kelsey
2024-07-03