| Accession Number: | 0001593968-23-000264 |
| Date: | 2023-02-01 |
| Issuer: | SURROZEN, INC./DE (SRZN) |
| Original Submission Date: |
YEH WEN-CHEN
C/O SURROZEN, INC.
171 OYSTER POINT BLVD., SUITE 400
SOUTH SAN FRANCISCO, CA 94080
| Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
|---|
| 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 Exercisable | Expiration 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OPTION (RIGHT TO BUY) | 0.7001 | 2023-02-01 | deemed execution date | A | 125,000 (a) | 2023-02-01 | 2033-02-01 | common stock 125,000 | $0.70 | 125,000 | direct |
| ID | footnote |
|---|---|
| f1 | the shares subject to the options vest and become exercisable in a series of 48 equal monthly installments beginning on 2/1/2023, subject to the reporting person's continued employment through the applicable vesting date. |
