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