0001814550-20-000001.txt : 20200623 0001814550-20-000001.hdr.sgml : 20200623 20200622180819 ACCESSION NUMBER: 0001814550-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200623 DATE AS OF CHANGE: 20200622 EFFECTIVENESS DATE: 20200623 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surrozen, Inc. CENTRAL INDEX KEY: 0001814550 IRS NUMBER: 811485763 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-369446 FILM NUMBER: 20979838 BUSINESS ADDRESS: STREET 1: 171 OYSTER POINT BLVD. STREET 2: SUITE 400 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 BUSINESS PHONE: 510-703-9491 MAIL ADDRESS: STREET 1: 171 OYSTER POINT BLVD. STREET 2: SUITE 400 CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 D 1 primary_doc.xml X0708 D LIVE 0001814550 Surrozen, Inc. 171 OYSTER POINT BLVD. SUITE 400 SOUTH SAN FRANCISCO CA CALIFORNIA 94080 510-703-9491 DELAWARE None None Corporation true 2015 Craig Parker 171 Oyster Point Blvd. Suite 400 South San Francisco CA CALIFORNIA 94080 Executive Officer Director Anna Berkenblit 171 Oyster Point Blvd. Suite 400 South San Francisco CA CALIFORNIA 94080 Director David Goeddel 171 Oyster Point Blvd. Suite 400 South San Francisco CA CALIFORNIA 94080 Director Tim Kutzkey 171 Oyster Point Blvd Suite 400 South San Francisco CA CALIFORNIA 94080 Director Harold Varmus 171 Oyster Point Blvd Suite 400 South San Francisco CA CALIFORNIA 94080 Director Biotechnology Decline to Disclose 06b false 2020-06-04 false true false 0 50000000 49999991 9 false 12 0 0 0 false Surrozen, Inc. /s/ Craig Parker Craig Parker Chief Executive Officer 2020-06-18