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