0001415889-22-010764.txt : 20221024 0001415889-22-010764.hdr.sgml : 20221024 20221024165438 ACCESSION NUMBER: 0001415889-22-010764 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221020 FILED AS OF DATE: 20221024 DATE AS OF CHANGE: 20221024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Colpman David CENTRAL INDEX KEY: 0001818776 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39577 FILM NUMBER: 221326446 MAIL ADDRESS: STREET 1: 452 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10018 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 form4-10242022_011032.xml X0306 4 2022-10-20 0001708527 AZIYO BIOLOGICS, INC. AZYO 0001818776 Colpman David C/O AZIYO BIOLOGICS INC. 12510 PROSPERITY DRIVE, SUITE 370 SILVER SPRING MD 20904 true false false false Stock Option (Right to Buy) 7.16 2022-10-20 4 A 0 28513 0 A 2032-10-20 Class A Common Stock 28513 28513 D The option vests annually in three equal installments of one-third each, on each of the first three anniversaries of the grant date, such that the option shall be fully vested and exercisable on October 20, 2025. /s/ Jeffrey Hamet, Attorney-in-Fact for David Colpman 2022-10-24