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