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