0001179110-17-004609.txt : 20170314 0001179110-17-004609.hdr.sgml : 20170314 20170314193203 ACCESSION NUMBER: 0001179110-17-004609 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170314 FILED AS OF DATE: 20170314 DATE AS OF CHANGE: 20170314 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: 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: 17689464 MAIL ADDRESS: STREET 1: C/O AXOGEN, INC. STREET 2: 13631 PROGRESS BLVD. SUITE 400 CITY: ALACHUA STATE: FL ZIP: 32615 4 1 edgar.xml FORM 4 - X0306 4 2017-03-14 0 0000805928 AxoGen, Inc. AXGN 0001653918 Donovan Michael Patrick 13631 PROGRESS BOULEVARD SUITE 400 ALACHUA FL 32615 0 1 0 0 VP Operations Common Stock 2017-03-14 4 M 0 4659 0.27 A 4659 D Common Stock 2017-03-14 4 M 0 5000 2.74 A 9659 D Employee Stock Option (right to purchase) 0.27 2017-03-14 4 M 0 4659 0 A 2012-01-13 2018-01-13 Common Stock 4659 0 D Employee Stock Option (right to purchase) 2.74 2017-03-14 4 M 0 5000 0 A 2012-12-16 2018-12-16 Common Stock 35000 30000 D /s/Mike Donovan 2017-03-14