0000805928-21-000069.txt : 20210329 0000805928-21-000069.hdr.sgml : 20210329 20210329161739 ACCESSION NUMBER: 0000805928-21-000069 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210325 FILED AS OF DATE: 20210329 DATE AS OF CHANGE: 20210329 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zaderej Karen L. CENTRAL INDEX KEY: 0001530968 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36046 FILM NUMBER: 21781874 MAIL ADDRESS: STREET 1: AXOGEN INC. STREET 2: 13859 PROGRESS BLVD, SUITE 100 CITY: ALACHUA STATE: FL ZIP: 32615 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Axogen, Inc. CENTRAL INDEX KEY: 0000805928 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 411301878 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 13631 PROGRESS BLVD. STREET 2: SUITE 400 CITY: ALACHUA STATE: FL ZIP: 32615 BUSINESS PHONE: (386) 462-6817 MAIL ADDRESS: STREET 1: 13631 PROGRESS BLVD. STREET 2: SUITE 400 CITY: ALACHUA STATE: FL ZIP: 32615 FORMER COMPANY: FORMER CONFORMED NAME: AxoGen, Inc. DATE OF NAME CHANGE: 20111004 FORMER COMPANY: FORMER CONFORMED NAME: LECTEC CORP /MN/ DATE OF NAME CHANGE: 19920703 4 1 wf-form4_161704904152217.xml FORM 4 X0306 4 2021-03-25 0 0000805928 Axogen, Inc. AXGN 0001530968 Zaderej Karen L. 13631 PROGRESS BOULEVARD SUITE 400 ALACHUA FL 32615 1 1 0 0 CEO Common Stock 2021-03-25 4 M 0 34500 3.67 A 665912 D Employee Stock Option (right to buy) 3.67 2021-03-25 4 M 0 19000 3.67 D 2015-12-29 2021-12-29 Common Stock 19000.0 0 D Employee Stock Option (right to buy) 3.67 2021-03-25 4 M 0 15500 3.67 D 2015-05-29 2021-12-29 Common Stock 15500.0 0 D The Reporting Person has elected to exercise and hold the shares at this time. /s/ Karen Zaderej 2021-03-29