0001593968-22-001110.txt : 20220609 0001593968-22-001110.hdr.sgml : 20220609 20220609175045 ACCESSION NUMBER: 0001593968-22-001110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220607 FILED AS OF DATE: 20220609 DATE AS OF CHANGE: 20220609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rothenberg Mace CENTRAL INDEX KEY: 0001873988 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39635 FILM NUMBER: 221007073 MAIL ADDRESS: STREET 1: 171 OYSTER POINT BLVD., SUITE 400 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 ISSUER: 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 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 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2022-06-07 0001824893 Surrozen, Inc./DE SRZN 0001873988 Rothenberg Mace C/O SURROZEN, INC. 171 OYSTER POINT BLVD., SUITE 400 SOUTH SAN FRANCISCO CA 94080 true false false false Option (right to buy) 2.79 2022-06-07 4 A false 20000 0 A 2023-06-07 2032-06-07 Surrozen, Inc. Common Stock 20000 20000 D The options fully vest and become exercisable on the one-year anniversary of the grant date, subject to the reporting person's continuous service as a director. /s/Sheela Mohan-Peterson, Attorney-in-Fact for Mace Rothenberg 2022-06-09