X0306 4 2018-11-02 0 0001603756 Axonics Modulation Technologies, Inc. AXNX 0001713663 Longitude Capital Partners III, LLC 2740 SAND HILL RD 2ND FLOOR MENLO PARK CA 94025 0 0 1 0 0001253886 ENRIGHT PATRICK G 2740 SAND HILL RD 2ND FLOOR MENLO PARK CA 94025 0 0 1 0 0001674099 Longitude Venture Partners III, L.P. 2740 SAND HILL RD 2ND FLOOR MENLO PARK CA 94025 0 0 1 0 Common Stock 2018-11-02 4 C 0 2400000 A 2400000 I By Longitude Venture Partners III, L.P. Common Stock 2018-11-02 4 P 0 533333 15.00 A 2933333 I By Longitude Venture Partners III, L.P. Series C Preferred Stock 2018-11-02 4 C 0 2000000 0.00 D Common Stock 2400000 0 I By Longitude Venture Partners III, L.P. Reflects a 1.2-for-1 forward stock split of the Issuer's common stock effected on October 18, 2018. Effective upon the closing of the Issuer's initial public offering of its common stock under the Securities Act of 1933, as amended, each share of Series C preferred stock automatically converted into 1.2 shares of the Issuer's common stock. The Series C preferred stock had no expiration date. These shares are held directly by Longitude Venture Partners III, L.P. ("Longitude Venture III"). Longitude Capital Partners III, LLC ("Longitude Capital III") is the general partner of Longitude Venture III and may be deemed to have voting, investment and dispositive power with respect to these securities. Patrick G. Enright and Juliet Tammenoms Bakker, a member of the Issuer's board of directors, are the managing members of Longitude Capital III (each a "Manager" and collectively, the "Managers") and may each be deemed to share voting, investment and dispositive power with respect to these securities. Each of Longitude Capital III and the Managers disclaims beneficial ownership of these securities and this report shall not be deemed an admission that any of them is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of their respective pecuniary interests therein. /s/ Patrick G. Enright, Managing Member of Longitude Capital Partners III, LLC 2018-11-02 /s/ Patrick G. Enright 2018-11-02 /s/ Patrick G. Enright, Managing Member of Longitude Capital Partners III, LLC, General Partner of Longitude Venture Partners III, L.P. 2018-11-02