0000805928-22-000129.txt : 20221216 0000805928-22-000129.hdr.sgml : 20221216 20221216164820 ACCESSION NUMBER: 0000805928-22-000129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221214 FILED AS OF DATE: 20221216 DATE AS OF CHANGE: 20221216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARIANI PETER J CENTRAL INDEX KEY: 0001222357 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36046 FILM NUMBER: 221468557 MAIL ADDRESS: STREET 1: C/O GUIDANT CORP STREET 2: 111 MONUMENT CIRCLE #2900 CITY: INDIANAPOLIS STATE: IN ZIP: 46204-5129 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_167122726720166.xml FORM 4 X0306 4 2022-12-14 0 0000805928 Axogen, Inc. AXGN 0001222357 MARIANI PETER J 13631 PROGRESS BOULEVARD SUITE 400 ALACHUA FL 32615 0 1 0 0 EVP & Chief Financial Officer Common Stock 2022-12-14 4 M 0 19364 5.04 A 49062 D Common Stock 2022-12-14 4 F 0 8930 10.93 D 40132 D Employee Stock Option (right to purchase) 5.04 2022-12-15 4 M 0 19364 0 D 2020-03-01 2023-03-01 Common Stock 19364.0 185636 D This Form is being filed to report the exercise of a stock option for a total of 19,364 shares by means of a stock swap. A stock swap is a method of exercising a stock option in which the option holder pays the exercise price using shares of stock already owned. As a result of this stock swap, the Reporting Person, on a net basis, acquired ownership of an additional 10,434 shares of common stock. /s/Peter Mariani 2022-12-16