0001209191-15-070082.txt : 20150910
0001209191-15-070082.hdr.sgml : 20150910
20150910154157
ACCESSION NUMBER: 0001209191-15-070082
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150908
FILED AS OF DATE: 20150910
DATE AS OF CHANGE: 20150910
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: Gold Mark Stephen
CENTRAL INDEX KEY: 0001531332
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36046
FILM NUMBER: 151101139
MAIL ADDRESS:
STREET 1: 13859 PROGRESS BLVD SUITE 100
CITY: ALACHUA
STATE: FL
ZIP: 32615
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-09-08
0
0000805928
AxoGen, Inc.
AXGN
0001531332
Gold Mark Stephen
13631 PROGRESS BOULEVARD
SUITE 400
ALACHUA
FL
32615
1
0
0
0
Common Stock
2015-09-08
2015-09-08
4
M
0
13000
2.75
A
316261
D
The shares for Dr. Gold include 167,761 shares held jointly by Dr. Gold and his wife, indirect ownership of 20,000 shares held by Dr. Gold's spouse and indirect ownership of 128,500 shares held by MJSK, Ltd., a decedent investment trust held by Dr. Gold's family.
/s/Dr. Mark S. Gold
2015-09-10