0000805928-21-000146.txt : 20210721
0000805928-21-000146.hdr.sgml : 20210721
20210721161514
ACCESSION NUMBER: 0000805928-21-000146
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210719
FILED AS OF DATE: 20210721
DATE AS OF CHANGE: 20210721
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: 211104665
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_162689849261026.xml
FORM 4
X0306
4
2021-07-19
0
0000805928
Axogen, Inc.
AXGN
0001530968
Zaderej Karen L.
13631 PROGRESS BOULEVARD
SUITE 400
ALACHUA
FL
32615
1
1
0
0
CEO
Common Stock
2021-07-19
4
A
0
22077
0
A
788830
D
Common Stock
2021-07-20
4
F
0
8812
19.20
D
780018
D
This reflects the number of shares that became vested as of July 19, 2021 upon the attainment of certain performance criteria.
The reported shares were sold, in compliance with company policy as to delivery of compensation based equity, with proceeds from such being used to cover the Reporting Person's tax withholding liability in connection with a portion of a performance stock award that vested on July 19, 2021.
/s/ Karen Zaderej
2021-07-21