0001708527-17-000001.txt : 20170609 0001708527-17-000001.hdr.sgml : 20170609 20170609135857 ACCESSION NUMBER: 0001708527-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170609 DATE AS OF CHANGE: 20170609 EFFECTIVENESS DATE: 20170609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AZIYO BIOLOGICS, INC. CENTRAL INDEX KEY: 0001708527 IRS NUMBER: 474790334 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-288445 FILM NUMBER: 17902311 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 X0707 D LIVE 0001708527 AZIYO BIOLOGICS, INC. 12510 PROSPERITY DRIVE SUITE 370 SILVER SPRING MD MARYLAND 20904 240-247-1143 DELAWARE None None Corporation true 2015 Jeffrey D Hamet 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Lode Debrabandere 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Director Michelle LeRoux Williams 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Charles Randal Mills 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director Kevin Rakin 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director William Matthew Zuga 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director Biotechnology Decline to Disclose 06b false 2017-05-31 false true false 0 12000000 12000000 0 false 3 0 0 0 No payments other than ordinary course employment compensation is being paid to officers and directors. false AZIYO BIOLOGICS, INC. Jeffrey D. Hamet Jeffrey D. Hamet Vice President, Finance and Treasurer 2017-06-09