| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | ||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Organogenesis Holdings Inc. [ ORGO ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 11/26/2019 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Class A common stock | 11/26/2019 | P | 6,000,000(2) | A | $5(3) | 24,975,165(2) | I | See Notes(1)(4)(5) | ||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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| Explanation of Responses: |
| 1. This statement is being filed by the following Reporting Persons: Avista Acquisition Corp. (the "Sponsor"); Avista Acquisition LLC, which is the sole shareholder of the Sponsor; Avista Capital Partners IV, L.P. ("ACP Onshore"); Avista Capital Partners (Offshore) IV, L.P. ("ACP Offshore" and together with ACP Onshore, the "Avista Funds"); Avista Capital Partners IV GP, L.P. ("Avista GP"), which is the general partner of ACP Onshore and ACP Offshore; Avista Capital Managing Member IV, LLC, which is the general partner of Avista GP; Thompson Dean; and David Burgstahler. |
| 2. Represents an aggregate of 3,008,064 shares of Common Stock purchased by ACP Onshore and 2,991,936 shares of Common Stock purchased by ACP Offshore in the Issuer's underwritten public offering (the "Offering") that was completed on November 26, 2019. |
| 3. Represents the public offering price of $5.00 per share of Common Stock, without giving effect to the fee paid by the Issuer to Avista Capital Holdings, L.P., an affiliate of the Avista Funds ("Avista Management"), pursuant to the Fee Letter Agreement, dated November 19, 2019, among the Issuer, Avista Management and the Avista Funds, made in connection with the Offering, as described in the Issuer's Current Report on Form 8-K filed on November 22, 2019 and filed as Exhibit 10.1 thereto. |
| 4. Because of the relationship among the Reporting Persons, the Reporting Persons may be deemed to beneficially own the securities reported herein to the extent of their respective pecuniary interests. Each Reporting Person disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any. Joshua Tamaroff, an employee of an affiliate of the Reporting Persons, serves on the board of directors of the Issuer as a representative of the Reporting Persons. |
| 5. Pursuant to Rule 16a-1(a)(4) under the Exchange Act, this filing shall not be deemed an admission that the Reporting Persons are, for purposes of Section 16 of the Exchange Act or otherwise, the beneficial owners of any equity securities in excess of their respective pecuniary interests. |
| Remarks: |
| Exhibit 99.1 Joint Filer Information, incorporated herein by reference. |
| See Exhibit 99.1 for Signatures incorporated herein by reference | 11/27/2019 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||
Exhibit 99.1
Joint Filer Information
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Name of Joint Filer:
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Avista Acquisition Corp.
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Address of Joint Filer:
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65 East 55th Street
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18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required to be
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Reported (Month/Day/Year):
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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Avista Acquisition Corp.
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| /s/ Benjamin Silbert | |
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Name: Benjamin Silbert
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Title: Attorney-in-Fact
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11/27/2019
Date
1
Joint Filer Information
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Name of Joint Filer:
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Avista Acquisition, LLC
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Address of Joint Filer:
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65 East 55th Street
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18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required to be
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Reported (Month/Day/Year):
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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Avista Acquisition, LLC
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| /s/ Benjamin Silbert | |
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Name: Benjamin Silbert
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Title: Attorney-in-Fact
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11/27/2019
Date
2
Joint Filer Information
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Name of Joint Filer:
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Avista Capital Partners IV, L.P.
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Address of Joint Filer:
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c/o Avista Capital Partners
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65 East 55th Street, 18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required
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To be Reported:
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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Avista Capital Partners IV, L.P.
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By: Avista Capital Partners IV GP, L.P.
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By: Avista Capital Managing Member IV, LLC, its general partner
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| /s/ Benjamin Silbert | |
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Name: Benjamin Silbert
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Title: Authorized Signatory
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11/27/2019
Date
3
Joint Filer Information
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Name of Joint Filer:
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Avista Capital Partners (Offshore) IV, L.P.
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Address of Joint Filer:
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c/o Avista Capital Partners
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65 East 55th Street, 18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required
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To be Reported:
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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Avista Capital Partners (Offshore) IV, L.P.
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By: Avista Capital Partners IV GP, L.P.
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By: Avista Capital Managing Member IV, LLC, its general partner
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| /s/ Benjamin Silbert | |
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Name: Benjamin Silbert
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Title: Authorized Signatory
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11/27/2019
Date
4
Joint Filer Information
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Name of Joint Filer:
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Avista Capital Partners IV GP, L.P.
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Address of Joint Filer:
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c/o Avista Capital Partners
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65 East 55th Street, 18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required
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To be Reported:
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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Avista Capital Partners IV GP, L.P.
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By: Avista Capital Managing Member IV, LLC, its general partner
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| /s/ Benjamin Silbert | |
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Name: Benjamin Silbert
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Title: Authorized Signatory
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11/27/2019
Date
5
Joint Filer Information
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Name of Joint Filer:
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Avista Capital Managing Member IV, LLC
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Address of Joint Filer:
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c/o Avista Capital Partners
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65 East 55th Street, 18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required
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To be Reported:
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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Avista Capital Managing Member IV, LLC
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| /s/ Benjamin Silbert | |
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Name: Benjamin Silbert
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Title: Authorized Signatory
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11/27/2019
Date
6
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Name of Joint Filer:
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Thompson Dean
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Address of Joint Filer:
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c/o Avista Capital Partners
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65 East 55th Street, 18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required
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To be Reported:
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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/s/ Benjamin Silbert
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Benjamin Silbert, as attorney-in-fact for
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Thompson Dean
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11/27/2019
Date
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Name of Joint Filer:
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David Burgstahler
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Address of Joint Filer:
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c/o Avista Capital Partners
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65 East 55th Street, 18th Floor
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New York, NY 10022
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Relationship of Joint Filer to Issuer:
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10% Owner
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Director
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Issuer Name and Ticker or Trading Symbol:
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Organogenesis Holdings Inc. [ORGO]
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Date of Earliest Transaction Required
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To be Reported:
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11/26/2019
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Designated Filer:
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Avista Capital Managing Member IV, LLC
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Signature:
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/s/ Benjamin Silbert
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Benjamin Silbert, as attorney-in-fact for
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David Burgstahler
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11/27/2019
Date
8