3//SEC Filing
Alfred E. Mann Foundation for Scientific Research 3
Accession 0000899243-18-027728
CIK 0001603756other
Filed
Oct 29, 8:00 PM ET
Accepted
Oct 30, 9:19 PM ET
Size
11.1 KB
Accession
0000899243-18-027728
Insider Transaction Report
Form 3
Holdings
Series A Preferred Stock
→ Common Stock (289,576 underlying)Series B-1 Preferred Stock
→ Common Stock (925,394 underlying)- 888,000
Common Stock
Footnotes (3)
- [F1]Reflects a 1.2-for-1 forward stock split of the Issuer's common stock effected on October 18, 2018.
- [F2]Each share of Series A preferred stock is convertible, at any time, at the reporting person's election, into shares of the Issuer's common stock at the then-effective conversion rate for no additional consideration in accordance with the Issuer's Fourth Amended and Restated Certificate of Incorporation, as amended to date. In addition, effective upon the closing of the Issuer's initial public offering of its common stock under the Securities Act of 1933, as amended, each share of the Series A preferred stock will automatically convert into 2.31660 shares of the Issuer's common stock. The Series A preferred stock has no expiration date.
- [F3]Each share of Series B-1 preferred stock is convertible, at any time, at the reporting person's election, into shares of the Issuer's common stock at the then-effective conversion rate for no additional consideration in accordance with the Issuer's Fourth Amended and Restated Certificate of Incorporation, as amended to date. In addition, effective upon the closing of the Issuer's initial public offering of its common stock under the Securities Act of 1933, as amended, each share of the Series B-1 preferred stock will automatically convert into 1.2 shares of the Issuer's common stock. The Series B-1 preferred stock has no expiration date.
Issuer
Axonics Modulation Technologies, Inc.
CIK 0001603756
Entity typeother
IncorporatedCA
Related Parties
1- filerCIK 0001756303
Filing Metadata
- Form type
- 3
- Filed
- Oct 29, 8:00 PM ET
- Accepted
- Oct 30, 9:19 PM ET
- Size
- 11.1 KB