SEC Form 4 · accession 0001179110-18-011633
Axogen, Inc. · AXGN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jamie Mark Grooms
Director
Period of report
Sep 20, 2018
Accepted (ET)
Sep 24, 2018 · 4:43 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 StockF1 | Sep 20, 2018 | M | 494 | $0.27 | A | 6,693 | D | |
| Common StockF1 | Sep 20, 2018 | M | 12,000 | $2.75 | A | 18,693 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Director Stock Option (right to purchase) | $0.27 | Sep 20, 2018 | M | 494 | D | Nov 8, 2008 | Nov 8, 2018 | Common Stock | 494 | 0 | D |
| Director Stock Option (right to purchase) | $2.75 | Sep 20, 2018 | M | 12,000 | D | Oct 10, 2011 | Oct 10, 2018 | Common Stock | 12,000 | 0 | D |
Explanation of responses
- F1These shares of common stock include 372 shares held by the Jamie Grooms Trust, of which Mr. Grooms is the trustee.