0001562180-22-001499.txt : 20220215 0001562180-22-001499.hdr.sgml : 20220215 20220215192137 ACCESSION NUMBER: 0001562180-22-001499 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220215 DATE AS OF CHANGE: 20220215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COHEN RAYMOND W CENTRAL INDEX KEY: 0001258288 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38721 FILM NUMBER: 22640888 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Axonics, Inc. CENTRAL INDEX KEY: 0001603756 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 454744083 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 26 TECHNOLOGY DRIVE CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 949-396-6322 MAIL ADDRESS: STREET 1: 26 TECHNOLOGY DRIVE CITY: IRVINE STATE: CA ZIP: 92618 FORMER COMPANY: FORMER CONFORMED NAME: Axonics Modulation Technologies, Inc. DATE OF NAME CHANGE: 20140326 5 1 primarydocument.xml PRIMARY DOCUMENT X0306 5 2021-12-31 false 0 0 0001603756 Axonics, Inc. AXNX 0001258288 COHEN RAYMOND W 26 TECHNOLOGY DRIVE IRVINE CA 92618 true true false false Chief Executive Officer Common Stock 2021-01-08 5 G false 5000.00 0.00 D 334635.00 D Common Stock 2021-02-05 5 G false 5000.00 0.00 D 329635.00 D Common Stock 2021-05-05 5 G false 3000.00 0.00 D 326635.00 D Common Stock 2021-07-02 5 G false 5000.00 0.00 D 321635.00 D Common Stock 2021-09-30 5 G false 28000.00 0.00 D 293635.00 D /s/ Dan Dearen, as Attorney-in-Fact for Raymond W. Cohen 2022-02-15