SEC Form 4 · accession 0000899243-18-030615
Axonics Modulation Technologies, Inc. · AXNX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert E McNamara
Director
Period of report
Dec 6, 2018
Accepted (ET)
Dec 10, 2018 · 9:15 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001603756
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Dec 6, 2018 | A | 2,500 | $0.00 | A | 6,500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F1 | $14.80 | Dec 6, 2018 | A | 5,000 | A | — | Dec 6, 2028 | Common Stock | 5,000 | 5,000 | D |
Explanation of responses
- F1The shares subject to the option will vest in full on April 30, 2019.