0001437749-17-012345.txt : 20170707 0001437749-17-012345.hdr.sgml : 20170707 20170707085503 ACCESSION NUMBER: 0001437749-17-012345 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20170630 FILED AS OF DATE: 20170707 DATE AS OF CHANGE: 20170707 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AIRXPANDERS INC CENTRAL INDEX KEY: 0001387156 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1047 ELWELL COURT CITY: PALO ALTO STATE: CA ZIP: 94303 BUSINESS PHONE: 650-390-9000 MAIL ADDRESS: STREET 1: 1047 ELWELL COURT CITY: PALO ALTO STATE: CA ZIP: 94303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peach Zita CENTRAL INDEX KEY: 0001709683 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55781 FILM NUMBER: 17953907 MAIL ADDRESS: STREET 1: C/O AIRXPANDERS, INC. STREET 2: 1047 ELWELL COURT CITY: PALO ALTO STATE: CA ZIP: 94303 3 1 rdgdoc.xml FORM 3 X0206 3 2017-06-30 0 0001387156 AIRXPANDERS INC AXP 0001709683 Peach Zita C/O AIRXPANDERS, INC. 1047 ELWELL COURT PALO ALTO CA 94303 1 Stock Option (Rt to Buy) 1.9343 2026-05-16 Common Stock 35000 D Stock Option (Rt to Buy) 1.8600 2027-05-21 Common Stock 49950 D One third of the option shares shall vest on the first anniversary of the vesting commencement date and the balance of the option shall vest in 24 equal consecutive monthly installments thereafter until fully vested. Vests in 12 equal consecutive monthly installments until fully vested. /s/ Scott Murcray, Attorney-In-Fact 2017-07-07 EX-24 2 section16powerofattorney.txt POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of Scott Dodson and Scott Murcray of AirXpanders, Inc. (the Company), and Mark Weeks and Marina Remennik of Cooley LLP, signing individually, the undersigneds true and lawful attorneys-in fact and agents to: (1) execute for and on behalf of the undersigned, in the undersigneds capacity as an officer, director or beneficial owner of more than 10% of a registered class of securities of AirXpanders, Inc., Forms 3, 4 and 5 (including any amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the Exchange Act) and the rules thereunder and a Form ID, Uniform Application for Access Codes to File on EDGAR; (2) do and perform any and all acts for and on behalf of the undersigned that may be necessary or desirable to execute such Forms 3, 4 or 5 or Form ID (including any amendments thereto) and timely file such forms with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any nature whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-facts discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-facts substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigneds responsibilities to comply with Section 16 of the Exchange Act. This Power of Attorney shall remain in full force and effect until the earliest to occur of (a) the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigneds holdings of and transactions in securities issued by the Company, (b) revocation by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact or (c) as to any attorney-in-fact individually, until such attorney-in-fact is no longer employed by the Company or Cooley LLP. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of the 31st day of May, 2017. /s/ Zita Peach Zita Peach