0001708527-23-000004.txt : 20231003 0001708527-23-000004.hdr.sgml : 20231003 20231003110545 ACCESSION NUMBER: 0001708527-23-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231003 DATE AS OF CHANGE: 20231003 EFFECTIVENESS DATE: 20231003 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ELUTIA 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: 021-493653 FILM NUMBER: 231302028 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 FORMER COMPANY: FORMER CONFORMED NAME: AZIYO BIOLOGICS, INC. DATE OF NAME CHANGE: 20170605 D 1 primary_doc.xml X0708 D LIVE 0001708527 ELUTIA INC. 12510 PROSPERITY DRIVE SUITE 370 SILVER SPRING MD MARYLAND 20904 240-247-1170 DELAWARE AZIYO BIOLOGICS, INC. Corporation true Matthew Ferguson 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Chief Financial Officer C. Randal Mills 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Director President, Chief Executive Officer Jeffrey Hamet 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Senior Vice President - Finance, Treasurer and Secretary W. Matthew Zuga 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director Kevin Rakin 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director Maybelle Jordan 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Director David Colpman 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 Michelle LeRoux Williams 12510 Prosperity Drive Suite 370 Silver Spring MD MARYLAND 20904 Executive Officer Chief Scientific Officer Biotechnology Decline to Disclose 06b false 2023-09-21 false true true false 0 Lake Street Capital Markets, LLC 164447 None None 920 2nd Avenue, S. Suite 700 Minneapolis MN MINNESOTA 55402 CA CALIFORNIA CT CONNECTICUT IL ILLINOIS MD MARYLAND NC NORTH CAROLINA false 10500000 10500000 0 false 12 598500 true 0 0 false ELUTIA INC. /s/ Matthew Ferguson Matthew Ferguson Chief Financial Officer 2023-10-03