0001415889-22-009536.txt : 20220912 0001415889-22-009536.hdr.sgml : 20220912 20220912170150 ACCESSION NUMBER: 0001415889-22-009536 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220908 FILED AS OF DATE: 20220912 DATE AS OF CHANGE: 20220912 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Riebman Jerome CENTRAL INDEX KEY: 0001825821 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39577 FILM NUMBER: 221239149 MAIL ADDRESS: STREET 1: C/O AZIYO BIOLOGICS, INC. STREET 2: 12510 PROSPERITY DRIVE, SUITE 370 CITY: SILVER SPRING STATE: MD ZIP: 20904 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 form4-09122022_020937.xml X0306 4 2022-09-08 0001708527 AZIYO BIOLOGICS, INC. AZYO 0001825821 Riebman Jerome C/O AZIYO BIOLOGICS, INC. 12510 PROSPERITY DRIVE, SUITE 370 SILVER SPRING MD 20904 false true false false CHIEF MEDICAL OFFICER Class A Common Stock 2022-09-08 4 M 0 14758 A 20093 D Class A Common Stock 2022-09-08 4 F 0 5104 7.30 D 14989 D Restricted Stock Units 2022-09-08 4 M 0 14758 0 D Class A Common Stock 14758 0 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. Includes one share of the Issuer's Class A Common Stock acquired under the Issuer's 2020 Employee Stock Purchase Plan. Shares withheld by the Issuer to satisfy tax withholding requirements on vesting of restricted stock units. The restricted stock units granted on March 8, 2022 vested in full on September 8, 2022. /s/ Jeffrey Hamet, Attorney-in-Fact for Jerome Riebman 2022-09-12