Statement of Changes in Beneficial Ownership (4)
04 June 2022 - 06:12AM
Edgar (US Regulatory)
FORM 4
[ ] Check this box if no longer subject to Section
16. Form 4 or Form 5 obligations may continue. See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person *
Ottinger Bradley |
2. Issuer Name and Ticker or Trading
Symbol Axogen, Inc. [ AXGN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
General Counsel and CCO |
(Last)
(First)
(Middle)
13631 PROGRESS BOULEVARD, SUITE 400 |
3. Date of Earliest Transaction (MM/DD/YYYY)
6/1/2022
|
(Street)
ALACHUA, FL 32615
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
6/1/2022 |
|
M |
|
15500 (1) |
A |
$0 |
18573 |
D |
|
Common Stock |
6/1/2022 |
|
F |
|
3775 (2) |
D |
$0 |
14798 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Restricted Stock Units |
(3) |
6/1/2022 |
|
M |
|
|
15500 |
(4) |
(4) |
Common Stock |
15500.0 |
$0 |
15500 |
D |
|
Explanation of
Responses: |
(1) |
This reflects the number of
restricted stock units that vested on June 1, 2022. |
(2) |
Represents the number of
shares required to be sold by the reporting person to cover tax
withholding obligations in connection with the vesting of
restricted stock units. This sale is mandated by the Issuer's
election under its equity incentive plans to require the
satisfaction of tax withholding obligations to be funded by a "sell
to cover" transaction and does not represent a discretionary trade
by the reporting person. |
(3) |
Each restricted stock unit
represents a contingent right to receive one share of Axogen, Inc.
common stock. |
(4) |
All shares of Axogen Inc.
common stock underlying the restricted stock units will be fully
vested on June 1, 2024 (4 years from the grant date) based upon a
vesting schedule whereby 50% of the aggregate shares vest on June
1, 2022 (24 months from the grant date) and an additional 25% of
the aggregate shares vest each 12 months thereafter. Vested shares
will be delivered to the reporting person upon the vesting
date. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Ottinger Bradley
13631 PROGRESS BOULEVARD, SUITE 400
ALACHUA, FL 32615 |
|
|
General Counsel and CCO |
|
Signatures
|
/s/ Bradley Ottinger |
|
6/3/2022 |
**Signature of
Reporting Person |
Date |
Reminder: Report on a separate line for each class
of securities beneficially owned directly or
indirectly. |
* |
If the form is filed by more than one
reporting person, see Instruction 4(b)(v). |
** |
Intentional misstatements or omissions
of facts constitute Federal Criminal Violations. See 18
U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
Persons who respond to the collection of information
contained in this form are not required to respond unless the form
displays a currently valid OMB control number. |
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