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