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