0001014108-22-000097.txt : 20220510 0001014108-22-000097.hdr.sgml : 20220510 20220509173704 ACCESSION NUMBER: 0001014108-22-000097 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20220510 DATE AS OF CHANGE: 20220509 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-91867 FILM NUMBER: 22906390 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Ugwumba Chidozie CENTRAL INDEX KEY: 0001835544 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 158 FILMORE STREET CITY: DENVER STATE: CO ZIP: 80206 SC 13G 1 surr-sc13g_03182022.htm SCHEDULE 13G

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

SCHEDULE 13G
(Rule 13d-102)

INFORMATION TO BE INCLUDED
IN STATEMENTS FILED PURSUANT
TO RULES 13d-1(b), (c), AND
(d) AND AMENDMENTS THERETO
FILED PURSUANT TO RULE 13d-2

Under the Securities Exchange Act of 1934
(AMENDMENT NO.)

Surrozen, Inc.
(Name of Issuer)
 
Common Stock, $.0001 par value
(Title of Class of Securities)
 
86889P109
(CUSIP Number)
 
 March 18, 2022
(Date of Event Which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

☐ Rule 13d-1(b)
X Rule 13d-1(c)
☐ Rule 13d-1(d)

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
CUSIP No. 86889P109
Page 2 of 6 pages
   


1
NAMES OF REPORTING PERSONS
 
 
 
Chidozie Ugwumba
 
 
 
 
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
    
(a)☐
    
(b)☐
 
 
3
SEC USE ONLY
 
 
 
 
 
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
 
 United States
 
 
 
 
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
5
SOLE VOTING POWER
 
 
 
1,964,082
 
 
 
 
6
SHARED VOTING POWER
 
 
 0
 
 
 
 
7
SOLE DISPOSITIVE POWER
 
 
 
1,964,082
 
 
 
 
8
SHARED DISPOSITIVE POWER
 
 
 0
 
 
 
 
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
 
 
1,964,082
 
 
 
 
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
 
 
☐
 
 
 
 
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
 
 5.5%
 
 
 
 
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
 
 
 IN
 
 
 
 
 
CUSIP No. 86889P109
Page 3 of 6 pages
   

Item 1(a). Name of Issuer:
 
Surrozen, Inc.
 
Item 1(b). Address of Issuer's Principal Executive Offices:
 
171 Oyster Point Blvd., Suite 400, South San Francisco, CA  94080

Item 2(a). Name of Person Filing:
 
Chidozie Ugwumba

Item 2(b). Address of Principal Business Office or, if none, Residence:
 
c/o SymBiosis Capital Management, LLC, 609 SW 8th St., Suite 365, Bentonville, AR 72712

Item 2(c). Citizenship:

 United States

Item 2(d). Title of Class of Securities:

 Common Stock
 
Item 2(e). CUSIP Number:
 
86889P109

CUSIP No. 86889P109
Page 4 of 6 pages
   

Item 3. If This Statement Is Filed Pursuant to Sections 240.13d-1(b) or
240.13d-2(b) or (c), Check Whether the Person Filing Is a(n):

Not applicable


 (a) ☐ Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o);


(b) ☐ Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c);


(c) ☐ Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c);


(d) ☐ Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);


(e) ☐ An investment adviser in accordance with Section 240.13d-1(b)(1)(ii)(E);


(f) ☐ An employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F);


(g) ☐ A parent holding company or control person in accordance with Section 240.13d-1(b)(1)(ii)(G);


(h) ☐ A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);


(i) ☐ A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);


(j) ☐ A non-U.S. institution in accordance with Section 240.13d-1(b)(1)(ii)(J);


(k) ☐ Group, in accordance with Section 240.13d-1(b)(1)(ii)(K).

Item 4. Ownership.


(a)
Amount beneficially owned: 

1,964,082


(b)
Percent of class:

5.5%


(c) Number of shares as to which the person has:


(i)
Sole power to vote or to direct the vote:

1,964,082


(ii)
Shared power to vote or to direct the vote:

0

  (iii)
Sole power to dispose or to direct the disposition of:

1,964,082

  (iv)
Shared power to dispose or to direct the disposition of:

0
 
The shares are directly held by SymBiosis II, LLC and the reporting person exercises sole voting power and dispositive power through SymBiosis II, LLC.


CUSIP No. 86889P109
Page 5 of 6 pages
   

Item 5. Ownership of Five Percent or Less of a Class.

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [  ].


Item 6.
Ownership of More Than Five Percent on Behalf of Another Person.

Not applicable

 
Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.

Not applicable
 

Item 8.
Identification and Classification of Members of the Group.

Not applicable
 

Item 9.
Notice of Dissolution of Group.

Not applicable
 
 
Item 10.
Certification.
 
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.

CUSIP No. 86889P109
Page 6 of 6 pages
   
SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Dated:  May 9, 2022
 
 

 
 

 /s/ Chidozie Ugwumba
   
Name:  Chidozie Ugwumba