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