0001179110-17-010417.txt : 20170718
0001179110-17-010417.hdr.sgml : 20170718
20170718162052
ACCESSION NUMBER: 0001179110-17-010417
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170717
FILED AS OF DATE: 20170718
DATE AS OF CHANGE: 20170718
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gingrich Jon S.
CENTRAL INDEX KEY: 0001711638
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36046
FILM NUMBER: 17969729
MAIL ADDRESS:
STREET 1: C/O AXOGEN, INC.
STREET 2: 13631 PROGRESS BOULEVARD, 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: LECTEC CORP /MN/
DATE OF NAME CHANGE: 19920703
4
1
edgar.xml
FORM 4 -
X0306
4
2017-07-17
0
0000805928
AxoGen, Inc.
AXGN
0001711638
Gingrich Jon S.
13631 PROGRESS BLVD.
SUITE 400
ALACHUA
FL
32615
0
1
0
0
Chief Commercial Officer
Employee Stock Option (right to purchase)
16.85
2017-07-17
4
A
0
115000
0
A
2027-07-17
Common Stock
115000
115000
D
All shares of Common Stock underlying the employee stock option will be fully vested on July 17, 2021 (4 years from the option grant date) based upon a vesting schedule whereby 25% of the aggregate shares vest on July 17, 2018 (12 months from the option grant date) and an additional 12.5% of the aggregate shares vest each 6 months thereafter.
/s/Jon Gingrich
2017-07-18