0001179110-20-000664.txt : 20200117 0001179110-20-000664.hdr.sgml : 20200117 20200117204121 ACCESSION NUMBER: 0001179110-20-000664 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200101 FILED AS OF DATE: 20200117 DATE AS OF CHANGE: 20200117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zaderej Karen L. CENTRAL INDEX KEY: 0001530968 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36046 FILM NUMBER: 20534847 MAIL ADDRESS: STREET 1: AXOGEN INC. STREET 2: 13859 PROGRESS BLVD, SUITE 100 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: AxoGen, Inc. DATE OF NAME CHANGE: 20111004 FORMER COMPANY: FORMER CONFORMED NAME: LECTEC CORP /MN/ DATE OF NAME CHANGE: 19920703 4 1 edgar.xml FORM 4 - X0306 4 2020-01-01 0 0000805928 Axogen, Inc. AXGN 0001530968 Zaderej Karen L. 13631 PROGRESS BOULEVARD SUITE 400 ALACHUA FL 32615 1 1 0 0 CEO Common Stock 2020-01-01 4 A 0 40000 A 632792 D Common Stock 2020-01-01 4 D 0 10112 17.34 D 622680 D This reflects the number of restricted stock units that became vested as of January 1, 2020. The reported shares were withheld to cover the Reporting Person's tax withholding liability in connection with a portion of the restricted stock units that vested on January 1, 2020. /s/Karen Zaderej 2020-01-17