0001415889-23-010225.txt : 20230623 0001415889-23-010225.hdr.sgml : 20230623 20230623113051 ACCESSION NUMBER: 0001415889-23-010225 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230621 FILED AS OF DATE: 20230623 DATE AS OF CHANGE: 20230623 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mills C Randal CENTRAL INDEX KEY: 0001370939 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39577 FILM NUMBER: 231035956 MAIL ADDRESS: STREET 1: 18366 CALLE STELLINA CITY: RANCHO SANTA FE STATE: CA ZIP: 92091 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 form4-06232023_030647.xml X0407 4 2023-06-21 0001708527 AZIYO BIOLOGICS, INC. AZYO 0001370939 Mills C Randal C/O AZIYO BIOLOGICS, INC. 12510 PROSPERITY DRIVE, SUITE 370 SILVER SPRING MD 20904 true true false false PRESIDENT AND CEO 0 Class A Common Stock 2023-06-21 4 M 0 22474 A 70482 D Class A Common Stock 2023-06-21 4 F 0 7772 2.41 D 62710 D Restricted Stock Units 2023-06-21 4 M 0 22474 0 D Class A Common Stock 22474 67419 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A Common Stock. Transaction represents shares of the Issuer's Class A Common Stock received from the vesting of restricted stock units. Shares withheld by the Issuer to satisfy tax withholding requirements on vesting of restricted stock units. On June 21, 2022, the Reporting Person was granted 89,893 restricted stock units, vesting in four substantially equal annual installments beginning in June 21, 2023. /s/ Jeffrey Hamet, Attorney-in-Fact for C. Randal Mills 2023-06-23