0000805928-24-000089.txt : 20240610
0000805928-24-000089.hdr.sgml : 20240610
20240610181031
ACCESSION NUMBER: 0000805928-24-000089
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240606
FILED AS OF DATE: 20240610
DATE AS OF CHANGE: 20240610
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Weiler Kathy Johnson
CENTRAL INDEX KEY: 0001979466
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36046
FILM NUMBER: 241034053
MAIL ADDRESS:
STREET 1: C/O AMERICAN WELL CORPORATION
STREET 2: 75 STATE STREET, 26TH FLOOR
CITY: BOSTON,
STATE: MA
ZIP: 02109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Axogen, Inc.
CENTRAL INDEX KEY: 0000805928
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
wk-form4_1718057423.xml
FORM 4
X0508
4
2024-06-06
0
0000805928
Axogen, Inc.
AXGN
0001979466
Weiler Kathy Johnson
C/O AXOGEN, INC. 13631 PROGRESS BLVD.,
SUITE 400
ALACHUA
FL
32615
1
0
0
0
0
Common Stock
2024-06-06
4
A
0
10653
A
10653
D
Employee Stock Option (right to purchase)
7.04
2024-06-06
4
A
0
18248
0
A
2034-06-06
Common Stock
18248
18248
D
Each restricted stock unit represents a contingent right to receive one share of Axogen, Inc. common stock.
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 $150,000 valuation as of the grant date and vests on June 6, 2025, one year 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.
/s/ Marc Began, as attorney-in-fact for Kathy Weiler
2024-06-10