0000805928-22-000021.txt : 20220224 0000805928-22-000021.hdr.sgml : 20220224 20220224160957 ACCESSION NUMBER: 0000805928-22-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220222 FILED AS OF DATE: 20220224 DATE AS OF CHANGE: 20220224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Donovan Michael Patrick CENTRAL INDEX KEY: 0001653918 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36046 FILM NUMBER: 22671003 MAIL ADDRESS: STREET 1: C/O AXOGEN, INC. STREET 2: 13631 PROGRESS BLVD. SUITE 400 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_164573697659302.xml FORM 4 X0306 4 2022-02-22 0 0000805928 Axogen, Inc. AXGN 0001653918 Donovan Michael Patrick 13631 PROGRESS BOULEVARD SUITE 400 ALACHUA FL 32615 0 1 0 0 VP Operations Common Stock 2022-02-22 4 M 0 10000 5.09 A 52453 D Common Stock 2022-02-22 4 M 0 5000 5.45 A 57453 D Employee Stock Option (right to purchase) 5.09 2022-02-22 4 M 0 10000 0 D 2019-12-28 2022-12-28 Common Stock 10000.0 0 D Employee Stock Option (right to purchase) 5.45 2022-02-22 4 M 0 5000 0 D 2020-05-26 2023-05-26 Common Stock 5000.0 0 D /s/Mike Donovan 2022-02-24