X0707 D LIVE 0001603756 Axonics Modulation Technologies, Inc. 7575 IRVINE CENTER DRIVE, SUITE 200 IRVINE CA CALIFORNIA 92618 949-396-6322 DELAWARE American Restorative Medicine, Inc. None Corporation true 2012 Raymond W. Cohen 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Executive Officer Director Dan L. Dearen 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Executive Officer Michael Williamson 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Executive Officer Raphael Wisniewski 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Director Barry Keenan 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Director John Petrovich 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Director Darren Cai 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Director Erik Amble 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Director Shahzad Malik 7575 Irvine Center Drive, Suite 200 Irvine CA CALIFORNIA 92618 Director Other Technology Decline to Disclose 06b false 2015-12-04 false true false 0 38512857 38512857 0 false 14 0 0 0 false Axonics Modulation Technologies, Inc. /s/Michael Williamson Michael Williamson Sr. Vice President 2015-12-18