0001562180-19-005751.txt : 20191126
0001562180-19-005751.hdr.sgml : 20191126
20191126210713
ACCESSION NUMBER: 0001562180-19-005751
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191122
FILED AS OF DATE: 20191126
DATE AS OF CHANGE: 20191126
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BioDiscovery 4 FCPR
CENTRAL INDEX KEY: 0001756321
STATE OF INCORPORATION: I0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38721
FILM NUMBER: 191252973
BUSINESS ADDRESS:
STREET 1: 374 RUE SAINT-HONORE
CITY: PARIS
STATE: I0
ZIP: 75001
BUSINESS PHONE: 949-396-6322
MAIL ADDRESS:
STREET 1: 374 RUE SAINT-HONORE
CITY: PARIS
STATE: I0
ZIP: 75001
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Andera Partners
CENTRAL INDEX KEY: 0001757283
STATE OF INCORPORATION: I0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38721
FILM NUMBER: 191252974
BUSINESS ADDRESS:
STREET 1: 374 RUE SAINT ST HONORE
CITY: PARIS
STATE: I0
ZIP: 75001
BUSINESS PHONE: 33-1-85-73-6603
MAIL ADDRESS:
STREET 1: 374 RUE SAINT ST HONORE
CITY: PARIS
STATE: I0
ZIP: 75001
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
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2019-11-22
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0001603756
Axonics Modulation Technologies, Inc.
AXNX
0001757283
Andera Partners
374 RUE SAINT ST HONORE ST.
75001 PARIS
false
false
true
false
0001756321
BioDiscovery 4 FCPR
374 RUE SAINT ST HONORE ST.
75001 PARIS
false
false
true
false
Common Stock
2019-11-22
4
S
false
300000.00
20.735
D
3257461.00
I
See footnote
The shares were sold in a public offering pursuant to the Registration Statement of Axonics Modulation Technologies, Inc. on Form S-3 (File No. 333-234546)
2,524,128 shares are held of record by BioDiscovery 4 FCPR ("BioDiscovery") and 733,333 shares are held of record by BioDiscovery 5 ("BioDiscovery 5"). Andera Partners ("Andera") is the manager of BioDiscovery and BioDiscovery 5 and may be deemed to have sole voting and dispositive power over the shares held by BioDiscovery and BioDiscovery 5.
/s/ Aichatou DIOP for Andera Partners
2019-11-26
/s/ Aichatou DIOP for BioDiscovery 4 FCPR
2019-11-26