0001562180-19-004489.txt : 20190826
0001562180-19-004489.hdr.sgml : 20190826
20190826185835
ACCESSION NUMBER: 0001562180-19-004489
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190822
FILED AS OF DATE: 20190826
DATE AS OF CHANGE: 20190826
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MCNAMARA ROBERT E
CENTRAL INDEX KEY: 0001361535
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38721
FILM NUMBER: 191054034
MAIL ADDRESS:
STREET 1: C/O NORTHSTAR NEUROSCIENCE, INC.
STREET 2: 2401 FOURTH AVENUE, SUITE 300
CITY: SEATTLE
STATE: WA
ZIP: 98121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Axonics Modulation Technologies, Inc.
CENTRAL INDEX KEY: 0001603756
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 454744083
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 26 TECHNOLOGY DRIVE
CITY: IRVINE
STATE: CA
ZIP: 92618
BUSINESS PHONE: 949-396-6322
MAIL ADDRESS:
STREET 1: 26 TECHNOLOGY DRIVE
CITY: IRVINE
STATE: CA
ZIP: 92618
4
1
primarydocument.xml
PRIMARY DOCUMENT
X0306
4
2019-08-22
false
0001603756
Axonics Modulation Technologies, Inc.
AXNX
0001361535
MCNAMARA ROBERT E
26 TECHNOLOGY DRIVE
IRVINE
CA
92618
true
false
false
false
Common Stock
2019-08-22
4
A
false
5000.00
0.00
A
13167.00
D
Stock Option (Right to Buy)
34.10
2019-08-22
4
A
false
10000.00
0.00
A
2029-08-22
Common Stock
10000.00
10000.00
D
The shares subject to the option will vest in full on August 18, 2020.
/s/ Michael V. Williamson, as Attorney-in-Fact for Robert E. McNamara
2019-08-26