Form Type: 4

SEC EDGAR Link
Accession Number:0001209191-21-057037
Date:2021-09-20
Issuer: AVITA MEDICAL, INC. (RCEL)
Original Submission Date:

Reporting Person:

CROWE SUZANNE
C/O AVITA THERAPEUTICS, INC.
28159 AVENUE STANFORD, SUITE 220 VALENCIA, CA 91355

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2021-09-20 P 1,066 a $17.08 4,112 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 reflects 5,330 of the issuer's chess depositary interests ("cdis"). cdis are units of beneficial ownership in shares of common stock of the issuer that are publicly traded on the australian securities exchange (the "asx") and held by chess depositary nominees pty, limited, a subsidiary of asx limited, the company that operates the asx. five cdis are equivalent to one share of the issuer's common stock and have all the rights and privileges of common stock.
f2 the purchase price was converted from a$4.72, using the exchange rate as in effect on the date of the transaction, and reflects the 5:1 consolidation ratio applied in converting cdis to shares of the issuer's common stock.
f3 the reporting person holds 20,560 cdis, which translate into the 4,112 shares of common stock set forth above.
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