0001209191-21-018525.txt : 20210308
0001209191-21-018525.hdr.sgml : 20210308
20210308160927
ACCESSION NUMBER: 0001209191-21-018525
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210304
FILED AS OF DATE: 20210308
DATE AS OF CHANGE: 20210308
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McGee Kathy M.
CENTRAL INDEX KEY: 0001835186
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39059
FILM NUMBER: 21722013
MAIL ADDRESS:
STREET 1: C/O AVITA MEDICAL
STREET 2: 28159 AVENUE STANFORD, SUITE 220
CITY: VALENCIA
STATE: CA
ZIP: 91355
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AVITA Medical, Inc.
CENTRAL INDEX KEY: 0001762303
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 202578762
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-03-04
0
0001762303
AVITA Medical, Inc.
RCEL
0001835186
McGee Kathy M.
C/O AVITA MEDICAL
28159 AVENUE STANFORD, SUITE 220
VALENCIA
CA
91355
0
1
0
0
Chief Operating Officer
Stock Options (Right to Buy)
21.88
2021-03-04
4
A
0
128000
0.00
A
2031-03-04
Common Stock
128000
128000
D
33,000 of these Stock Options vest in four equal annual installments beginning on January 4, 2022 and the remaining 95,000 Stock Options vest based on performance-based vesting criteria.
/s/ Donna Shiroma, by power of attorney
2021-03-08