SEC Form 4 · accession 0001179110-16-025817
Axogen, Inc. · AXGN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David K Hansen
Officer — Chief Accounting Officer
Period of report
May 31, 2016
Accepted (ET)
Jun 1, 2016 · 5:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000805928
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 31, 2016 | M | 9,821 | $0.27 | A | 9,821 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to purchase) | $0.27 | May 31, 2016 | M | 4,752 | A | Jun 7, 2006 | Jun 7, 2016 | Common Stock | 4,752 | 0 | D |
| Employee Stock Option (right to purchase) | $0.27 | May 31, 2016 | M | 932 | A | Apr 27, 2007 | Apr 27, 2017 | Common Stock | 932 | 0 | D |
| Employee Stock Option (right to purchase) | $0.27 | May 31, 2016 | M | 634 | A | Dec 6, 2007 | Dec 6, 2017 | Common Stock | 634 | 0 | D |
| Employee Stock Option (right to purchase) | $0.27 | May 31, 2016 | M | 327 | A | Nov 18, 2008 | Nov 18, 2018 | Common Stock | 327 | 0 | D |
| Employee Stock Option (right to purchase) | $0.27 | May 31, 2016 | M | 3,176 | A | Jun 9, 2010 | Jun 9, 2020 | Common Stock | 3,176 | 0 | D |