0000805928-21-000112.txt : 20210603
0000805928-21-000112.hdr.sgml : 20210603
20210603171454
ACCESSION NUMBER: 0000805928-21-000112
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: THOMAS PAUL
CENTRAL INDEX KEY: 0001166776
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36046
FILM NUMBER: 21993524
MAIL ADDRESS:
STREET 1: ONE MILLENNIUM WAY
CITY: BRANCHBURG
STATE: NJ
ZIP: 08876
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_162275486446760.xml
FORM 4
X0306
4
2021-06-01
0
0000805928
Axogen, Inc.
AXGN
0001166776
THOMAS PAUL
13201 SABAL CHASE
PALM BEACH GARDENS
FL
33418
1
0
0
0
Stock Option (right to buy)
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/ Paul Thomas
2021-06-03