0001562180-21-006776.txt : 20211102 0001562180-21-006776.hdr.sgml : 20211102 20211102211552 ACCESSION NUMBER: 0001562180-21-006776 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211022 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kiernan Jane E CENTRAL INDEX KEY: 0001379171 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38721 FILM NUMBER: 211373411 MAIL ADDRESS: STREET 1: 525 W ROSCOE CITY: CHICAGO STATE: IL ZIP: 60657 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Axonics, 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 FORMER COMPANY: FORMER CONFORMED NAME: Axonics Modulation Technologies, Inc. DATE OF NAME CHANGE: 20140326 4 1 primarydocument.xml PRIMARY DOCUMENT X0306 4 2021-10-22 false 0001603756 Axonics, Inc. AXNX 0001379171 Kiernan Jane E 26 TECHNOLOGY DRIVE IRVINE CA 92618 true false false false Common Stock 2021-10-22 4 A false 2261.00 0.00 A 12844.00 D /s/ Dan Dearen, as Attorney-in-Fact for Jane E. Kiernan 2021-11-02