Delaware | 45-4744083 | ||||
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
Michael A. Hedge K&L Gates LLP 1 Park Plaza Twelfth Floor Irvine, California 92614 (949) 253-0900 |
Large accelerated filer | ☒ | Accelerated filer | ☐ | ||||||||
Non-accelerated filer | ☐ | Smaller reporting company | ☐ | ||||||||
Emerging growth company | ☐ |
Exhibit No. | Description | ||||
4.1 | |||||
4.2 | |||||
4.3 | |||||
4.4 | |||||
5.1 | |||||
23.1 | |||||
23.2 | |||||
24.1 | |||||
99.1 | |||||
99.2 | |||||
99.3 | |||||
99.4 | |||||
99.5 | |||||
107 |
AXONICS, INC. | ||||||||
By: | /s/ Raymond W. Cohen | |||||||
Raymond W. Cohen | ||||||||
Chief Executive Officer and Director |
SIGNATURE | TITLE | DATE | ||||||||||||
/s/ Raymond W. Cohen | Chief Executive Officer and Director | March 7, 2023 | ||||||||||||
Raymond W. Cohen | ||||||||||||||
/s/ Dan L. Dearen | President and Chief Financial Officer | March 7, 2023 | ||||||||||||
Dan L. Dearen | ||||||||||||||
/s/ Michael H. Carrel | Chairman of the Board | March 7, 2023 | ||||||||||||
Michael H. Carrel | ||||||||||||||
/s/ Jane E. Kiernan | Director | March 7, 2023 | ||||||||||||
Jane E. Kiernan | ||||||||||||||
/s/ Robert E. McNamara | Director | March 7, 2023 | ||||||||||||
Robert E. McNamara | ||||||||||||||
/s/ Nancy Snyderman, M.D., FACS | Director | March 7, 2023 | ||||||||||||
Nancy Snyderman, M.D., FACS | ||||||||||||||
/s/ David M. Demski | Director | March 7, 2023 | ||||||||||||
David M. Demski | ||||||||||||||
/s/ Esteban López | Director | March 7, 2023 | ||||||||||||
Esteban López, M.D. | ||||||||||||||
Exhibit No. | Description | ||||
4.1 | |||||
4.2 | |||||
4.3 | |||||
4.4 | |||||
5.1 | |||||
23.1 | |||||
23.2 | |||||
24.1 | |||||
99.1 | |||||
99.2 | |||||
99.3 | |||||
99.4 | |||||
99.5 | |||||
107 |
Security Type | Security Class Title | Fee Calculation Rule | Amount Registered(1) | Proposed Maximum Offering Price Per Share | Maximum Aggregate Offering Price | Fee Rate | Amount of Registration Fee | ||||||||||||||||
Equity | Common stock, $0.0001 par value per share | Other | 2,500,000(2) | $56.33(3) | $140,825,000(3) | $0.00011020 | $ | 15,519 | |||||||||||||||
Total Offering Amounts | $ | 140,825,000 | $ | 15,519 | |||||||||||||||||||
Total Fee Offsets | — | ||||||||||||||||||||||
Net Fee Due | $ | 15,519 |
(1) | Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration Statement shall also cover any additional shares of the Registrant’s common stock that become issuable in respect of the securities identified in the above table by reason of any stock dividend, stock split, recapitalization or other similar transaction effected without the receipt of consideration that increases the number of the Registrant’s outstanding shares of common stock. | ||||
(2) | Represents 2,500,000 additional shares of common stock reserved for issuance under the Registrant’s 2018 Omnibus Incentive Plan. | ||||
(3) | Estimated in accordance with Rule 457(c) and Rule 457(h) of the Securities Act solely for purposes of calculating the registration fee on the basis of $56.33, the average of the high and low prices of the Registrant’s common stock as reported on the NASDAQ Global Select Market on March 6, 2023. |
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