0001562180-19-004301.txt : 20190815
0001562180-19-004301.hdr.sgml : 20190815
20190815195809
ACCESSION NUMBER: 0001562180-19-004301
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190627
FILED AS OF DATE: 20190815
DATE AS OF CHANGE: 20190815
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tammenoms Bakker Juliet
CENTRAL INDEX KEY: 0001431159
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38721
FILM NUMBER: 191031361
MAIL ADDRESS:
STREET 1: LONGITUDE CAPITAL MANAGEMENT CO., LLC
STREET 2: 800 EL CAMINO REAL, SUITE 220
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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/A
1
primarydocument.xml
PRIMARY DOCUMENT
X0306
4/A
2019-06-27
2019-07-01
false
0001603756
Axonics Modulation Technologies, Inc.
AXNX
0001431159
Tammenoms Bakker Juliet
2740 SAND HILL RD 2ND FLOOR
MENLO PARK
CA
94025
true
false
true
false
Stock Option (Right to Buy)
37.15
2019-06-27
4
A
false
3333.00
0.00
A
2029-06-27
Common Stock
3333.00
3333.00
D
The prior form filing incorrectly reported that 5,000 stock options were granted, when the actual number of stock options granted was 3,333. This amendment is being filed to correct the error.
The shares subject to the option will vest in full on August 19, 2019.
/s/ Michael V. Williamson, as Attorney-in-Fact for Juliet Tammenoms Bakker
2019-08-12