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4//SEC Filing

Alfred E. Mann Foundation for Scientific Research 4

Accession 0000899243-18-028090

CIK 0001603756other

Filed

Nov 1, 8:00 PM ET

Accepted

Nov 2, 7:34 PM ET

Size

11.8 KB

Accession

0000899243-18-028090

Insider Transaction Report

Form 4
Period: 2018-11-02
Transactions
  • Conversion

    Series B-1 Preferred Stock

    2018-11-02771,1610 total
    Common Stock (925,394 underlying)
  • Conversion

    Common Stock

    2018-11-02+289,5761,177,576 total
  • Conversion

    Series A Preferred Stock

    2018-11-02125,0000 total
    Common Stock (289,576 underlying)
  • Conversion

    Common Stock

    2018-11-02+925,3942,102,970 total
Footnotes (3)
  • [F1]Reflects a 1.2-for-1 forward stock split of the Issuer's common stock effected on October 18, 2018.
  • [F2]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 Series A preferred stock automatically converted into 2.31660 shares of the Issuer's common stock. The A preferred stock had no expiration date.
  • [F3]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 Series B-1 preferred stock automatically converted into 1.2 shares of the Issuer's common stock. The B-1 preferred stock had no expiration date.

Issuer

Axonics Modulation Technologies, Inc.

CIK 0001603756

Entity typeother
IncorporatedCA

Related Parties

1
  • filerCIK 0001756303

Filing Metadata

Form type
4
Filed
Nov 1, 8:00 PM ET
Accepted
Nov 2, 7:34 PM ET
Size
11.8 KB