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Filing Details

Accession Number:: 0001562180-20-005206
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2020-07-22 21:58:01
Reporting Period:: 2020-07-20

Accepted Time:: 2020-07-22 21:58:01
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1603756	Axonics Modulation Technologies Inc.	AXNX	Surgical & Medical Instruments & Apparatus (3841)	454744083

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1756399	Rinda Sama	26 Technology Drive Irvine CA 92618	Chief Operating Officer	No	No	No	No

Reported Non-Derivative Transactions

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership
Common Stock	Acquisiton	2020-07-20	13,657	$1.63	199,931	No	4	M	Direct
Common Stock	Acquisiton	2020-07-20	6,943	$14.19	206,874	No	4	M	Direct
Common Stock	Disposition	2020-07-20	19,700	$39.33	187,174	No	4	S	Direct
Common Stock	Disposition	2020-07-20	900	$40.19	186,274	No	4	S	Direct
Common Stock	Acquisiton	2020-07-21	13,127	$14.19	199,401	No	4	M	Direct
Common Stock	Disposition	2020-07-21	10,400	$40.69	189,001	No	4	S	Direct
Common Stock	Disposition	2020-07-21	4,000	$41.10	185,001	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership
No	4	M	Direct
No	4	M	Direct
No	4	S	Direct
No	4	S	Direct
No	4	M	Direct
No	4	S	Direct
No	4	S	Direct

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Stock Option (Right to Buy)	Disposition	2020-07-20	6,943	$0.00	6,943	$14.19
Common Stock	Stock Option (Right to Buy)	Disposition	2020-07-20	13,657	$0.00	13,657	$1.63
Common Stock	Stock Option (Right to Buy)	Disposition	2020-07-21	13,127	$0.00	13,127	$14.19

Remaning Holdings	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
68,612	2029-01-30	No	4	M	Direct
11,543	2028-03-30	No	4	M	Direct
55,485	2029-01-30	No	4	M	Direct

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	4,000	Indirect	By Spouse

Footnotes

This sale was pursuant to a 10b5-1 plan adopted by the reporting person on June 18, 2020.
This transaction was executed in multiple trades at prices ranging from $39.14 to $40.07. The price reported above reflects the weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $40.16 to $40.21. The price reported above reflects the weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $40.00 to $40.99. The price reported above reflects the weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This transaction was executed in multiple trades at prices ranging from $41.00 to $41.24. The price reported above reflects the weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
The shares subject to the option will vest over a period of four years, with 1/4th of the shares subject to the option vesting on January 30th, 2020, and the remainder vesting at a rate of 1/36th per month commencing upon the one-year anniversary of January 30th, 2020, provided the reporting person remains in continuous service on each vesting date, subject to accelerated vesting in certain events, including upon certain changes of control of the Issuer. The option is subject to an early exercise provision and is immediately exercisable.
The shares subject to the option will vest over a period of four years, with 1/4th of the shares subject to the option vesting on March 30, 2018, and the remainder vesting at a rate of 1/36th per month commencing upon the one-year anniversary of March 30, 2018, provided the reporting person remains in continuous service on each vesting date, subject to accelerated vesting in certain events, including upon certain changes of control of the Issuer. The option is subject to an early exercise provision and is immediately exercisable.