0001567619-21-022436.txt : 20211222 0001567619-21-022436.hdr.sgml : 20211222 20211222113935 ACCESSION NUMBER: 0001567619-21-022436 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211222 DATE AS OF CHANGE: 20211222 EFFECTIVENESS DATE: 20211222 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-426264 FILM NUMBER: 211512029 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 D 1 primary_doc.xml X0708 D LIVE 0001708527 AZIYO BIOLOGICS, INC. 12510 PROSPERITY DRIVE SUITE 370 SILVER SPRING MD MARYLAND 20904 240-247-1143 DELAWARE None None Corporation true Ronald Lloyd 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Director Matthew Ferguson 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Jeffrey Hamet 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Kevin Rakin 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director W. Matthew Zuga 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director Maybelle Jordan 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director C. Randal Mills. Ph.D. 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director Brigid A. Makes 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director Biotechnology Decline to Disclose 06b false 2021-12-05 false true false 0 13999975 13999975 0 false 15 0 0 0 false AZIYO BIOLOGICS, INC. /s/ Ronald Lloyd Ronald Lloyd Chief Executive Officer 2021-12-17