X0306 4 2020-08-10 0 0001603756 Axonics Modulation Technologies, Inc. AXNX 0001431159 Tammenoms Bakker Juliet 2740 SAND HILL RD 2ND FLOOR MENLO PARK CA 94025 1 0 0 0 Common Stock 2020-08-10 4 J 0 978000 0.00 D 1955333 I By Longitude Venture Partners III, L.P. Common Stock 2020-08-10 4 J 0 1026 0.00 A 1026 I See Footnote Common Stock 2020-08-10 4 J 0 2393 0.00 A 11560 D Represents a pro rata distribution, and not a purchase or sale, without additional consideration by Longitude Venture Partners III, L.P. ("Longitude Venture III") to its general and limited partners. These shares are held by 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 over the shares held by Longitude Venture III. Patrick G. Enright ("Mr. Enright") and the Reporting Person are the managing members of Longitude Capital III and may be deemed to share voting, investment and dispositive power over the shares held by Longitude Venture III. Each of Longitude Capital III, Mr. Enright and the Reporting Person disclaims beneficial ownership of such shares except to the extent of its, his or her pecuniary interest therein. Represents a pro rata distribution, and not a purchase or sale, without additional consideration by Longitude Capital III to its members. These shares are held by a trust. The Reporting Person is the Investment Trustee of such trust and may be deemed to share voting and dispositive power with regard to the reported shares. The Reporting Person disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein. /s/ Juliet Tammenoms Bakker 2020-08-12