0001104659-15-066990.txt : 20150924
0001104659-15-066990.hdr.sgml : 20150924
20150924161756
ACCESSION NUMBER: 0001104659-15-066990
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150922
FILED AS OF DATE: 20150924
DATE AS OF CHANGE: 20150924
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: 13859 PROGRESS BLVD.
STREET 2: SUITE 100
CITY: ALACHUA
STATE: FL
ZIP: 32615
BUSINESS PHONE: (386) 462-6817
MAIL ADDRESS:
STREET 1: 13859 PROGRESS BLVD.
STREET 2: SUITE 100
CITY: ALACHUA
STATE: FL
ZIP: 32615
FORMER COMPANY:
FORMER CONFORMED NAME: LECTEC CORP /MN/
DATE OF NAME CHANGE: 19920703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Donovan Michael Patrick
CENTRAL INDEX KEY: 0001653918
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36046
FILM NUMBER: 151123258
MAIL ADDRESS:
STREET 1: C/O AXOGEN, INC.
STREET 2: 13631 PROGRESS BLVD. SUITE 400
CITY: ALACHUA
STATE: FL
ZIP: 32615
4
1
a4.xml
4
X0306
4
2015-09-22
0
0000805928
AxoGen, Inc.
AXGN
0001653918
Donovan Michael Patrick
C/O AXOGEN, INC.
13631 PROGRESS BOULEVARD
ALACHUA
FL
32615
0
1
0
0
Vice President, Operations
Employee Stock Option (right to buy)
5.14
2015-09-22
4
A
0
25000
0
A
2022-09-22
Common Stock
25000
25000
D
All shares pursuant to the employee stock option will be fully vested on September 22, 2019 (4 years from the option grant date) based upon a vesting schedule whereby 25% of the aggregate shares vest on September 22, 2016 (12 months from the option grant date) and an additional 12.5% of the aggregate shares each 6 months thereafter.
By: /s/ Michael Patrick Donovan
2015-09-24