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