0001593968-24-000621.txt : 20240426 0001593968-24-000621.hdr.sgml : 20240426 20240426163430 ACCESSION NUMBER: 0001593968-24-000621 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240424 FILED AS OF DATE: 20240426 DATE AS OF CHANGE: 20240426 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Parker Craig C CENTRAL INDEX KEY: 0001526064 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39635 FILM NUMBER: 24884467 MAIL ADDRESS: STREET 1: 21 BEVERLY TERRACE CITY: MILL VALLEY STATE: CA ZIP: 94941 FORMER NAME: FORMER CONFORMED NAME: Parker Craig C. DATE OF NAME CHANGE: 20150730 FORMER NAME: FORMER CONFORMED NAME: Parker Craig C DATE OF NAME CHANGE: 20110718 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Surrozen, Inc./DE CENTRAL INDEX KEY: 0001824893 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 301374889 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 X0508 4 2024-04-24 0001824893 Surrozen, Inc./DE SRZN 0001526064 Parker Craig C C/O SURROZEN, INC. 171 OYSTER POINT BLVD., SUITE 400 SOUTH SAN FRANCISCO CA 94080 true true false false Chief Executive Officer false Option (right to buy) 8.97 2024-04-24 4 A false 43000 0 A 2024-02-01 2034-04-24 Common Stock 43000 43000 D The shares subject to the options vest and become exercisable in a series of 48 equal monthly installments beginning on February 1, 2024, subject to the reporting person's continuous service through the applicable vesting date. /s/Charles Williams, Attorney-in-Fact for Craig C Parker 2024-04-26