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