0000805928-21-000074.txt : 20210420 0000805928-21-000074.hdr.sgml : 20210420 20210420160937 ACCESSION NUMBER: 0000805928-21-000074 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210416 FILED AS OF DATE: 20210420 DATE AS OF CHANGE: 20210420 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zaderej Karen L. CENTRAL INDEX KEY: 0001530968 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36046 FILM NUMBER: 21837940 MAIL ADDRESS: STREET 1: AXOGEN INC. STREET 2: 13859 PROGRESS BLVD, SUITE 100 CITY: ALACHUA STATE: FL ZIP: 32615 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: 13631 PROGRESS BLVD. STREET 2: SUITE 400 CITY: ALACHUA STATE: FL ZIP: 32615 BUSINESS PHONE: (386) 462-6817 MAIL ADDRESS: STREET 1: 13631 PROGRESS BLVD. STREET 2: SUITE 400 CITY: ALACHUA STATE: FL ZIP: 32615 FORMER COMPANY: FORMER CONFORMED NAME: AxoGen, Inc. DATE OF NAME CHANGE: 20111004 FORMER COMPANY: FORMER CONFORMED NAME: LECTEC CORP /MN/ DATE OF NAME CHANGE: 19920703 4 1 wf-form4_161894935065728.xml FORM 4 X0306 4 2021-04-16 0 0000805928 Axogen, Inc. AXGN 0001530968 Zaderej Karen L. 13631 PROGRESS BOULEVARD SUITE 400 ALACHUA FL 32615 1 1 0 0 CEO Common Stock 2021-04-16 4 M 0 100000 5.09 A 765912 D Employee Stock Option (right to purchase) 5.09 2021-04-16 4 M 0 100000 5.09 D 2022-12-29 Common Stock 100000.0 110000 D The Reporting Person has elected to exercise and hold the shares at this time. All shares of Common Stock underlying the employee stock option became fully vested on December 29, 2019 (4 years from the option grant date) based upon a vesting schedule whereby 25% of the aggregate shares vested on December 29, 2016 (12 months from the option grant date) and an additional 12.5% of the aggregate shares vested each 6 months thereafter. /s/ Karen Zaderej 2021-04-20