0001209191-13-021074.txt : 20130410
0001209191-13-021074.hdr.sgml : 20130410
20130410163415
ACCESSION NUMBER: 0001209191-13-021074
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121001
FILED AS OF DATE: 20130410
DATE AS OF CHANGE: 20130410
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harper John Frederick
CENTRAL INDEX KEY: 0001530945
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-16159
FILM NUMBER: 13754035
MAIL ADDRESS:
STREET 1: AXOGEN, INC
STREET 2: 13859 PROGRESS BLVD., STE 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: 13859 PROGRESS BLVD.
STREET 2: SUITE 100
CITY: ALACHUA
STATE: FL
ZIP: 32615
BUSINESS PHONE: (386) 462-6817
MAIL ADDRESS:
STREET 1: 13859 PROGRESS BLVD.
STREET 2: SUITE 100
CITY: ALACHUA
STATE: FL
ZIP: 32615
FORMER COMPANY:
FORMER CONFORMED NAME: LECTEC CORP /MN/
DATE OF NAME CHANGE: 19920703
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2012-10-01
0
0000805928
AxoGen, Inc.
AXGN
0001530945
Harper John Frederick
13859 PROGRESS BLVD.,
SUITE 100
ALACHUA
FL
32615
1
0
0
0
Common Stock
2012-10-01
4
P
0
86557
3.61
A
147428
D
Stock Option (right to buy)
2.75
2013-01-01
4
A
0
13000
2.75
A
2013-01-01
2020-01-01
Common Stock
13000
35540
D
Springboard Capital II, LLC (Springboard), of which Mr. Harper is a limited partner, distributed all of its shares of AxoGen, Inc. to its partners. The shares reflect those distributed to Mr. Harper in accordance with his percentage of ownership in Springboard pursuant to the governing documents of Springboard. The price per share reflects the orginal price per share paid by Springboard.
Annual option grant as compensation for service on the board of directors. All options vested on the date of grant.
/s/ John Harper
2013-04-10