0001562180-21-005006.txt : 20210719 0001562180-21-005006.hdr.sgml : 20210719 20210719212246 ACCESSION NUMBER: 0001562180-21-005006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210715 FILED AS OF DATE: 20210719 DATE AS OF CHANGE: 20210719 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lopez Esteban CENTRAL INDEX KEY: 0001839999 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38721 FILM NUMBER: 211099262 MAIL ADDRESS: STREET 1: 6303 COWBOYS WAY STREET 2: SUITE 600 CITY: FRISCO STATE: TX ZIP: 75034 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 2021-07-15 false 0001603756 Axonics, Inc. AXNX 0001839999 Lopez Esteban 26 TECHNOLOGY DRIVE IRVINE CA 92618 true false false false Common Stock 2021-07-15 4 A false 3500.00 0.00 A 3500.00 D Stock Options (Right to buy) 59.70 2021-07-15 4 A false 10000.00 0.00 A 2022-07-15 2031-07-15 Common Stock 10000.00 10000.00 D The option becomes exercisable in full on July 15, 2022, provided the reporting person remains in continuous service through such date. /s/ Esteban Lopez 2021-07-19