0001415889-21-005960.txt : 20211215
0001415889-21-005960.hdr.sgml : 20211215
20211215164529
ACCESSION NUMBER: 0001415889-21-005960
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211214
FILED AS OF DATE: 20211215
DATE AS OF CHANGE: 20211215
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Englese Thomas
CENTRAL INDEX KEY: 0001825799
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39577
FILM NUMBER: 211494736
MAIL ADDRESS:
STREET 1: C/O AZIYO BIOLOGICS, INC.
STREET 2: 12510 PROSPERITY DRIVE, SUITE 370
CITY: SILVER SPRING
STATE: MD
ZIP: 20904
FORMER NAME:
FORMER CONFORMED NAME: Englese Tom
DATE OF NAME CHANGE: 20200923
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AZIYO BIOLOGICS, INC.
CENTRAL INDEX KEY: 0001708527
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 474790334
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12510 PROSPERITY DRIVE
STREET 2: SUITE 370
CITY: SILVER SPRING
STATE: MD
ZIP: 20904
BUSINESS PHONE: 240-247-1143
MAIL ADDRESS:
STREET 1: 12510 PROSPERITY DRIVE
STREET 2: SUITE 370
CITY: SILVER SPRING
STATE: MD
ZIP: 20904
4
1
form4-12152021_011220.xml
X0306
4
2021-12-14
0001708527
AZIYO BIOLOGICS, INC.
AZYO
0001825799
Englese Thomas
C/O AZIYO BIOLOGICS, INC.
12510 PROSPERITY DRIVE, SUITE 370
SILVER SPRING
MD
20904
false
true
false
false
CHIEF COMMERCIAL OFFICER
Class A Common Stock
2021-12-14
4
P
0
4580
6.10
A
5088
D
Includes 508 shares of Class A Common Stock acquired under the Company's 2020 Employee Stock Purchase Plan.
/s/ Jeffrey Hamet, Attorney-in-Fact for Thomas Englese
2021-12-15