0000805928-21-000172.txt : 20211217
0000805928-21-000172.hdr.sgml : 20211217
20211217160234
ACCESSION NUMBER: 0000805928-21-000172
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211215
FILED AS OF DATE: 20211217
DATE AS OF CHANGE: 20211217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DeVinney Erick Wayne
CENTRAL INDEX KEY: 0001595972
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36046
FILM NUMBER: 211501468
MAIL ADDRESS:
STREET 1: 13631 PROGRESS BLVD SUITE 400
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_163977493108416.xml
FORM 4
X0306
4
2021-12-15
0
0000805928
Axogen, Inc.
AXGN
0001595972
DeVinney Erick Wayne
13631 PROGRESS BOULEVARD SUITE 400
ALACHUA
FL
32615
0
1
0
0
VP Peripheral Nerve Science
Common Stock
2021-12-15
4
M
0
10000
3.67
A
90426
D
Common Stock
2021-12-15
4
F
0
4171
8.80
D
86255
D
Employee Stock Option (right to buy)
3.67
2021-12-15
4
M
0
10000
0
D
2018-12-29
2021-12-29
Common Stock
10000.0
0
D
This reflects the number of shares that became vested as of December 29, 2018.
Represents the number of shares swapped to cover the exercise price of the options exercised via an attestation method stock swap in accordance with Rule16b-3.
/s/Erick DeVinney
2021-12-16