0000805928-21-000110.txt : 20210603 0000805928-21-000110.hdr.sgml : 20210603 20210603171345 ACCESSION NUMBER: 0000805928-21-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210601 FILED AS OF DATE: 20210603 DATE AS OF CHANGE: 20210603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Freitag Gregory Gene CENTRAL INDEX KEY: 0001492710 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36046 FILM NUMBER: 21993510 MAIL ADDRESS: STREET 1: 13631 PROGRESS BLVD. 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_162275480526647.xml FORM 4 X0306 4 2021-06-01 0 0000805928 Axogen, Inc. AXGN 0001492710 Freitag Gregory Gene 13631 PROGRESS BLVD. SUITE 400 ALACHUA FL 32615 1 0 0 0 Stock Option (right to purchase) 19.76 2021-06-01 4 A 0 6030 0 A 2031-06-01 Common Stock 6030.0 6030 D Restricted Stock Units 2021-06-01 4 A 0 3036 0 A Common Stock 3036.0 3036 D Annual equity grant for service as Director on the Axogen, Inc. Board of Directors. The number of shares pursuant to the equity grant is based on a $120,000 valuation as of the grant date and vests on June 1, 2022, one year from the anniversary of the grant date. One-half of the annual equity grant value is in the form of non-qualified stock options and one-half of the annual equity grant value is in the form of restricted stock units. Each restricted stock unit represents a contingent right to receive one share of Axogen, Inc. common stock. /s/Gregory Freitag 2021-06-03