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Axsome Therapeutics, Inc. – ‘10-K’ for 12/31/23 – ‘EX-19.1’

On:  Friday, 2/23/24, at 8:10am ET   ·   For:  12/31/23   ·   Accession #:  950170-24-19118   ·   File #:  1-37635

Previous ‘10-K’:  ‘10-K’ on 2/28/23 for 12/31/22   ·   Latest ‘10-K’:  This Filing   ·   20 References:   

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 2/23/24  Axsome Therapeutics, Inc.         10-K       12/31/23  103:12M                                    Donnelley … Solutions/FA

Annual Report   —   Form 10-K   —   SEA’34

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-K        Annual Report                                       HTML   2.85M 
 2: EX-10.2     Axsome Therapeutics, Inc. Amended and Restated      HTML    143K 
                2015 Omnibus Incentive Compensation Plan                         
 3: EX-19.1     Axsome Therapeutics, Inc. Insider Trading Company   HTML     98K 
 4: EX-21.1     Subsidiaries of the Company                         HTML     30K 
 5: EX-23.1     Consent of Deloitte & Touche LLP                    HTML     29K 
 6: EX-23.2     Consent of Ernst & Young LLP                        HTML     32K 
11: EX-97.1     Axsome Therapeutics, Inc. Dodd-Frank Clawback       HTML     39K 
                Policy                                                           
 7: EX-31.1     Certification of Principal Executive Officer        HTML     35K 
                Pursuant to Rule 13A-14(A)/15D-14(A), as Adopted                 
                Pursuant to Section 302 of the Sarbanes-Oxley Act                
                of 2002                                                          
 8: EX-31.2     Certification of Principal Financial Officer        HTML     35K 
                Pursuant to Rule 13A-14(A)/15D-14(A), as Adopted                 
                Pursuant to Section 302 of the Sarbanes-Oxley Act                
                of 2002                                                          
 9: EX-32.1     Certification -- §906 - SOA'02                      HTML     30K 
10: EX-32.2     Certification -- §906 - SOA'02                      HTML     30K 
13: R1          Document and Entity Information                     HTML    107K 
14: R2          Consolidated Balance Sheets                         HTML    124K 
15: R3          Consolidated Balance Sheets (Parenthetical)         HTML     49K 
16: R4          Consolidated Statements of Operations               HTML    101K 
17: R5          Consolidated Statements of Stockholders' Equity     HTML     77K 
18: R6          Consolidated Statements of Cash Flows               HTML    124K 
19: R7          Pay vs Performance Disclosure                       HTML     41K 
20: R8          Insider Trading Arrangements                        HTML     61K 
21: R9          Nature of Business and Basis of Presentation        HTML     39K 
22: R10         Summary of Significant Accounting Policies          HTML    102K 
23: R11         Business Combination                                HTML     77K 
24: R12         Accounts Receivable, net                            HTML     41K 
25: R13         Inventory                                           HTML     55K 
26: R14         Goodwill                                            HTML     38K 
27: R15         Intangible Assets                                   HTML     60K 
28: R16         Fair Value of Financial Instruments                 HTML     95K 
29: R17         Accrued Expenses and Other Current Liabilities      HTML     49K 
30: R18         Loan and Security Agreement                         HTML     99K 
31: R19         Commitments and Contingencies                       HTML     60K 
32: R20         Stockholders' Equity                                HTML    141K 
33: R21         Warrants                                            HTML     78K 
34: R22         Net Loss per Common Share                           HTML     70K 
35: R23         Revenues                                            HTML     78K 
36: R24         License Agreements                                  HTML     46K 
37: R25         Royalty Agreements                                  HTML     33K 
38: R26         Income Taxes                                        HTML    122K 
39: R27         Related-Party Transactions                          HTML     38K 
40: R28         Summary of Significant Accounting Policies          HTML    159K 
                (Policies)                                                       
41: R29         Business Combination (Tables)                       HTML     72K 
42: R30         Accounts Receivable, net (Tables)                   HTML     41K 
43: R31         Inventory (Tables)                                  HTML     57K 
44: R32         Goodwill (Tables)                                   HTML     40K 
45: R33         Intangible Asset (Tables)                           HTML     61K 
46: R34         Fair Value of Financial Instruments (Tables)        HTML     97K 
47: R35         Accrued Expenses and Other Current Liabilities      HTML     49K 
                (Tables)                                                         
48: R36         Loan and Security Agreement (Tables)                HTML     76K 
49: R37         Commitments and Contingencies (Tables)              HTML     53K 
50: R38         Stockholders' Equity (Tables)                       HTML    116K 
51: R39         Warrants (Tables)                                   HTML     91K 
52: R40         Net Loss per Common Share (Tables)                  HTML     71K 
53: R41         Revenues (Tables)                                   HTML     73K 
54: R42         Income Taxes (Tables)                               HTML    115K 
55: R43         Nature of Business and Basis of Presentation -      HTML     36K 
                Additional Information (Details)                                 
56: R44         Summary of Significant Accounting Policies -        HTML     94K 
                Additional Information (Details)                                 
57: R45         Business Combination - Additional Information       HTML     51K 
                (Details)                                                        
58: R46         Business Combination - Schedule of purchase         HTML     39K 
                consideration (Details)                                          
59: R47         Business Combination - Schedule of Allocation of    HTML     55K 
                the Fair Value (Details)                                         
60: R48         Business Combination - Schedule of Unaudited Pro    HTML     34K 
                Forma Summary Presents Consolidated Information                  
                (Details)                                                        
61: R49         Accounts Receivable, net - Schedule of Accounts     HTML     34K 
                Receivable, Net (Details)                                        
62: R50         Inventory - Schedule of Inventory (Details)         HTML     37K 
63: R51         Inventory - Additional Information (Details)        HTML     35K 
64: R52         Inventory - Summary of Balance Sheet                HTML     35K 
                Classification of Inventory (Details)                            
65: R53         Goodwill - Schedule of Goodwill (Details)           HTML     35K 
66: R54         Intangible Asset - Schedule of Carrying Amount of   HTML     38K 
                Intangible Asset (Details)                                       
67: R55         Intangible Asset - Additional Information           HTML     32K 
                (Details)                                                        
68: R56         Intangible Asset - Schedule of Finite Lived         HTML     45K 
                Intangible Assets Future Amortization Expenses                   
                (Details)                                                        
69: R57         Fair Value of Financial Instruments - Additional    HTML     37K 
                Information (Details)                                            
70: R58         Fair Value of Financial Instruments - Schedule of   HTML     42K 
                Fair Value of Financial Instruments Measured on                  
                Recurring Basis (Details)                                        
71: R59         Fair Value of Financial Instruments - Schedule of   HTML     36K 
                Changes in Fair Value of Contingent Consideration                
                Liabilities (Details)                                            
72: R60         Fair Value of Financial Instruments - Schedule of   HTML     43K 
                Fair Value Measurements of Contingent                            
                Consideration Recurring Include Significant                      
                Unobservable Inputs (Details)                                    
73: R61         Accrued Expenses and Other Current Liabilities -    HTML     44K 
                Schedule of Accrued Expenses and Other Current                   
                Liabilities (Details)                                            
74: R62         Loan and Security Agreement - Additional            HTML    133K 
                Information (Details)                                            
75: R63         Loan and Security Agreement - Schedule of           HTML     38K 
                Outstanding Debt and Unamortized Debt Discount                   
                Balances (Details)                                               
76: R64         Loan and Security Agreement - Schedule of debt      HTML     41K 
                approximates its fair value given its variable                   
                interest rate (Details)                                          
77: R65         Loan and Security Agreement - Schedule of           HTML     34K 
                Principal Payments (Details)                                     
78: R66         Commitments and Contingencies - Additional          HTML     55K 
                Information (Details)                                            
79: R67         Commitments and Contingencies - Schedule of         HTML     33K 
                Operating Lease Expense (Details)                                
80: R68         Commitments and Contingencies - Schedule of Future  HTML     46K 
                Minimum Lease Payments of Operating Leases                       
                (Details)                                                        
81: R69         Stockholders' Equity - Additional Information       HTML    133K 
                (Details)                                                        
82: R70         Stockholders' Equity - Summary of Stock Option      HTML     80K 
                Activity (Details)                                               
83: R71         Stockholders' Equity - Summary of Black-Scholes     HTML     46K 
                Option Valuation Assumptions (Details)                           
84: R72         Stockholders' Equity - Schedule of RSU Activity     HTML     53K 
                (Details)                                                        
85: R73         Stockholders' Equity - Schedule of Stock-Based      HTML     37K 
                Compensation Expense Recognized (Details)                        
86: R74         Warrants - Schedule of Warrant Activity (Details)   HTML     41K 
87: R75         Warrants - Additional Information (Details)         HTML     53K 
88: R76         Warrants - Summary of Initial Fair Value of         HTML     57K 
                Warrants Estimated using Black - Scholes Option                  
                Pricing Model (Details)                                          
89: R77         Net Loss per Common Share - Computation of Basic    HTML     59K 
                and Diluted Net Loss per Common Share (Details)                  
90: R78         Net Loss per Common Share - Potentially Dilutive    HTML     42K 
                Securities Outstanding (Details)                                 
91: R79         Revenues - Additional Information (Details)         HTML     34K 
92: R80         Revenues - Schedule of Disaggregation of Product    HTML     55K 
                Sales (Details)                                                  
93: R81         License Agreements - Additional Information         HTML     92K 
                (Details)                                                        
94: R82         Royalty Agreements - Additional Information         HTML     36K 
                (Details)                                                        
95: R83         Income Taxes - Additional Information (Details)     HTML     47K 
96: R84         Income Taxes - Schedule of Components of Deferred   HTML     64K 
                Tax Assets (Details)                                             
97: R85         Income Taxes - Schedule of Income Tax Rate          HTML     56K 
                Reconciliation (Details)                                         
98: R86         Related-Party Transactions - Additional             HTML     48K 
                Information (Details)                                            
100: XML         IDEA XML File -- Filing Summary                      XML    189K  
103: XML         XBRL Instance -- axsm-20231231_htm                   XML   2.32M  
99: EXCEL       IDEA Workbook of Financial Report Info              XLSX    192K 
12: EX-101.SCH  XBRL Taxonomy Extension Schema With Embedded         XSD   4.49M 
                Linkbases Document -- axsm-20231231                              
101: JSON        XBRL Instance as JSON Data -- MetaLinks              633±   988K  
102: ZIP         XBRL Zipped Folder -- 0000950170-24-019118-xbrl      Zip   1.00M  


‘EX-19.1’   —   Axsome Therapeutics, Inc. Insider Trading Company


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  EX-19.1  

 

Exhibit 19.1

 

Axsome Therapeutics, Inc. Insider Trading Policy

 

 

The following is the Insider Trading Policy of Axsome Therapeutics, Inc. (the “Company”) and outlines the procedures that all Company personnel must follow. Failure to comply with these procedures could result in a serious violation of the securities laws by you and/or the Company and can involve both civil and criminal penalties. It is important that you review our policy carefully. The insider trading policy provides as follows:

 

I.
PURPOSE

 

In order to comply with federal and state securities laws governing (a) trading in Company securities while in the possession of “material nonpublic information” concerning the Company, and (b) tipping or disclosing material nonpublic information to outsiders, and in order to, among other things, prevent even the appearance of improper insider trading or tipping, protect the Company from controlling person liability and protect the reputation of the Company, its directors, officers and employees, the Company has adopted this policy for all of its directors, officers and employees, their family members, and specially designated outsiders, such as consultants, who may have access to the Company’s material nonpublic information.

II.
SCOPE

 

a.
This policy covers all insiders, which includes all directors, officers and employees of the Company, their family members and any corporations, partnerships, trusts or other entities owned or controlled by the foregoing persons and any trusts in which such persons are trustees or beneficiaries ("Applicable Trusts") or any corporation in which such persons hold more than 20% of the equity or voting rights ("Applicable Corporations”) (collectively referred to as “Insiders”), and any outsiders whom the Insider Trading Compliance Officer may designate as Insiders because they have or may gain access to material nonpublic information concerning the Company.

 

b.
The policy applies to any and all transactions in the Company’s securities, including (unless specifically excluded herein) its common stock and options to purchase common stock, and any other type of securities that the Company may issue, such as preferred stock, convertible debentures, warrants and exchange-traded options or other derivative securities. Transactions subject to this policy include, but are not necessarily limited to, purchases and sales (including short-selling), whether in the open market or with the Company; transfers to anyone or any entity, whether with or without consideration; gifts; pledging of shares of options; and the granting of an option to acquire an Insider’s interest in Company securities.
c.
The policy will be delivered to all directors, officers, employees and designated outsiders upon its adoption by the Company, and to all new directors, officers, employees and

 

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designated outsiders at the start of their employment or relationship with the Company. Upon first receiving a copy of the policy or any revised versions, each Insider must sign an acknowledgement that he or she has received a copy and agrees to comply with the policy’s terms. Officers, employees, directors and certain designated Insiders and outsiders may be required to certify compliance with the policy on an annual basis.
III.
INSIDER TRADING AND COMPLIANCE COMMITTEE

 

The Insider Trading Compliance Committee (the “Committee”) will consist of the Chief Executive Officer and the Chief Financial Officer (the “Compliance Officer”). The Committee will review and either approve or prohibit all proposed trades by Insiders and designated outsiders in accordance with the procedures set forth in Section V(c), below. In addition to the trading approval duties described in Section V(c), below, the duties of the Compliance Officer will include the following:

a.
Administering this policy and monitoring and enforcing compliance with all policy provisions and procedures;
b.
Responding to all inquiries relating to this policy and its procedures;
c.
Designating and announcing Special Blackout Periods, (as defined in section V(b)(ii) below;

 

d.
Providing copies of this policy and other appropriate materials to all current and new directors, officers and employees, and such outsiders who the Compliance Officer determines have or may gain access to material nonpublic information concerning the Company;
e.
Administering, monitoring and enforcing compliance with all federal and state insider trading laws and regulations, including without limitation Sections 10(b), 15, 20A and 21A of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) and the rules and regulations promulgated thereunder, and Rule 144 under the Securities Act of 1933 (the “Securities Act”) and related regulations of the Financial Industry Regulatory Authority, Inc. (”FINRA”) or The Nasdaq Stock Market LLC (“Nasdaq”); and assisting in the preparation and filing of all reports required to be filed by the Company under the Exchange Act relating to insider trading in the Company’s securities, including without limitation Forms 3, 4, 5 and 144 and Schedules 13D and 13G (“SEC Reports”);
f.
Revising the policy as necessary to reflect changes in federal or state insider trading laws and regulations or the regulations of FINRA or Nasdaq; and
g.
Maintaining as Company records originals or copies of all documents required by the provisions of this policy or the procedures set forth herein, and copies of all SEC Reports.

The Compliance Officer may designate one or more individuals who may perform her duties or the duties of the other member of the Committee in the event that they or the other Committee member is unable to or unavailable to perform such duties.

IV.
DEFINITION OF “MATERIAL NONPUBLIC INFORMATION”

 

a.
“Material” Information.

 

There is no bright-line rule as to what constitutes “material” information. Generally

 

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speaking, information about the Company is “material” if there is a substantial likelihood that a reasonable stockholder would consider the information important in making a decision to buy or sell the Company’s securities, or, stated another way, if the disclosure of the information would be expected to significantly alter the total mix of the information

in the marketplace about the Company. In simple terms, material information is any type of information that could reasonably be expected to affect the price of Company securities, beyond normal daily fluctuations. While it is not possible to identify all information that would be deemed “material,” the following types of information ordinarily would be considered material:

 

i.
Financial performance, especially quarterly and year-end earnings, and significant changes in financial performance or liquidity;
ii.
Company projections and strategic plans;
iii.
Clinical results of the Company’s product candidates;
iv.
Potential mergers and acquisitions or the sale of Company assets or subsidiaries;
v.
Partnership agreements for the Company’s product candidates;
vi.
New major contracts, orders, suppliers, customers, or finance sources, or the loss thereof;
vii.
Major discoveries or significant changes or developments in product candidates or product lines, clinical trial results, research or technologies;
viii.
Stock splits, public or private securities/debt offerings, or changes in Company dividend policies or amounts;
ix.
Sales of the Company’s securities by the Named Executive Officers (identified as such in the Company’s Annual Proxy Statement filed each year with the Securities and Exchange Commission (“SEC”) or by members of the Company’s Board of Directors;
x.
Significant changes in senior management;
xi.
Significant labor disputes or negotiations;
xii.
Actual or threatened major litigation or the resolution of such litigation;
xiii.
Content of material formal regulatory responses to the Company; or
xiv.
Impending bankruptcy or the existence of severe liquidity problems;

 

If you are unsure whether information of which you are aware is material or nonpublic, you should consult with the Compliance Officer.

b.
“Nonpublic” Information.

 

Material information is “nonpublic” if it has not been widely disseminated to the public in a manner making it available to investors generally, including, without limitation, through major newswire services, national news services and financial news services or the filing of public documents as required with the SEC. For the purposes of this policy, information will be considered public, i.e., no longer “nonpublic,” after the close of trading on the second full trading day following the company’s widespread public release of the information.

V.
STATEMENT OF COMPANY POLICY AND PROCEDURES

 

a.
Prohibited Activities:

 

i.
No Insider may trade in Company securities while possessing material nonpublic information concerning the Company.

 

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ii.
No Insider may trade in Company securities during any Special Blackout Periods designated by the Compliance Officer.
iii.
No Insider may trade in Company securities unless the trade(s) have been

approved by the Committee in accordance with the procedures set forth in Section V(c), below. Other than as required pursuant to Section V(a)(viii), below, Insiders who wish to sell Company securities in order to realize their profits are strongly encouraged to sell their securities pursuant to a predetermined written plan meeting the requirements of Rule 10b5-1 of the Exchange Act (“Rule 10b5-1”) which is approved by the Committee. To the extent possible, Insiders should retain all records and documents that support their reasons for making each trade.

iv.
Neither member of the Committee may not trade in Company securities unless the trade(s) have been approved by the other member of the Committee and the Company’s outside legal counsel in accordance with the procedures set forth in Section V(c), below.

 

v.
No Insider may “tip” or disclose material nonpublic information concerning the Company to any person unless required as part of that Insider’s regular duties for the Company. In any instance in which such information is disclosed to outsiders, the Company shall take such steps as are necessary to preserve the confidentiality of the information, including requiring the outsider to agree in writing to comply with the terms of this policy and/or to sign a confidentiality agreement. All inquiries from outsiders regarding material nonpublic information about the Company must be forwarded to the Compliance Officer.

 

vi.
No Insider may give trading advice of any kind about the Company to anyone while possessing material nonpublic information about the Company, except that Insiders should advise others not to trade if they have knowledge that doing so might violate the law or this policy. The Company strongly discourages all Insiders from giving trading advice concerning the Company to third parties even when the Insiders do not possess material nonpublic information about the Company.
vii.
No Insider may trade in any interest or position relating to the future price of Company securities, such as a put, call, short sale or other derivative short position.

 

viii.
Any director or employee of the Company holding a title of vice president-level or higher may only sell Company securities pursuant to a 10b5-1 Plan (as defined below) as approved pursuant to the provisions below (for purposes of clarity, such persons may execute purchases of Company securities pursuant to this policy without a 10b5-1 Plan).
b.
Blackout Periods

 

i.
The period beginning fourteen (14) calendar days prior to the last day of the last calendar month of each quarter and ending two ( 2 ) trading days following the date of public disclosure of the financial results for that quarter (the "Quarterly Blackout Period") is a particularly sensitive period of time for transactions in the Company's stock from the perspective of compliance with applicable securities laws. This sensitivity is due to the fact that officers, directors and certain other

 

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employees and consultants will, during that period, often possess material nonpublic information about the expected financial results for the quarter. Except as set forth in Section V(d), no Insider may trade in Company Securities

during a Blackout Period, although the Committee may waive the restriction if it determines such person does not possess material nonpublic information.

ii.
The Compliance Officer, in consultation with Company management, may, from time to time, designate special blackout periods ("Special Blackout Periods" and together with the Quarterly Blackout Period, the “Blackout Period”) during which trading in Company securities by all Insiders shall be prohibited.
iii.
No Insider may disclose to any outside third party that a Special Blackout Period has been designated.
c.
Procedures for Approving Trades by Insiders

 

i.
Regardless of the proposed timing or type of trade, no Insider may trade in Company securities until:

 

1.
The person trading has notified the Compliance Officer in writing of the amount and nature of the proposed trade(s);
2.
The person trading has certified to the Compliance Officer in writing at the time of such proposed trade(s) that (i) he or she is not in possession of material nonpublic information concerning the Company and (ii) the proposed trade(s) do not violate the trading restrictions of Section 16 of the Exchange Act or Rule 144 of the Securities Act;

 

3.
The person trading has notified and received approval from the Committee for the filing of a Form 144 with the SEC, if applicable; and

 

4.
The Committee has approved the trade(s), and the Compliance Officer has certified such approval in writing.

 

ii.
Trades made pursuant to Rule 10b5-1 Plans
1.
The Company must pre-approve any plan, arrangement or trading instructions, etc. prepared pursuant to Rule 10b5-1 involving potential sales (or purchases) of stock or option exercises and sales, etc. (any such plan prepared in accordance with Rule 10b5- 1, a “10b5-1 Plan”).
2.
In reviewing any 10b5-1 Plan, the Company shall:

 

a.
Verify that at the time a 10b5-1 Plan is entered into, there is no nonpublic material information about the Company (even if the Insider proposing the 10b5-1 Plan is not aware of such information).
b.
Ensure that the first trade authorized by any 10b5-1 Plan does not occur until a time following the release of the

Company’s next quarterly filing with the SEC subsequent to the 10b5-1 Plan going into effect;

c.
Ensure that the 10b5-1 Plan provides, where appropriate, for

 

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compliance with the restrictions set forth in Section V.b.

above;

d.
Consider whether a public announcement of the 10b5-1 Plan

should be made; and

e.
Ensure that the 10b5-1 Plan includes a procedure with whomever is handling the transactions pursuant to the 10b5-1 Plan that will guarantee:
i.
Prompt filings of Forms 4 and 5 with the SEC after each transaction; and
ii.
Compliance with Rule 144 and/or Rule 145, if appropriate, at the time of any sale.

 

iii.
The existence of the foregoing approval processes does not in any way obligate the Compliance Officer or the Committee to approve any particular trades or 10b5-1 Plans proposed by Insiders. The Compliance Officer may reject any trading requests or 10b5-1 Plans at the Compliance Officer’s sole reasonable discretion.
iv.
Regardless of whether an executive officer or a member of the Company’s Board of Directors has plans to trade in the Company’s securities, any Form 144 filing by such an Insider with the SEC must be approved by the Committee prior to any filing. In addition, such an Insider must also provide notice to the chair of the Compensation Committee of the Company’s Board of Directors of his or her intention to file a Form 144 with the SEC or effect any trading in the securities of the Company.
d.
Exceptions to Trading Prohibitions.

 

The prohibition on trading in Company securities during Blackout Periods, during Special Blackout Periods, or while otherwise in possession of material nonpublic information does not apply to:

 

i.
purchases made under an employee stock purchase plan operated by the Company, if applicable; provided, however, that the securities so acquired may not be sold during a Blackout Period or any Special Blackout Period;

 

ii.
exercises of stock options or the surrender of shares to the Company in payment of the exercise price or in satisfaction of any tax withholding obligation, in each case in a manner permitted by the applicable stock option; provided, however, that the securities so acquired may not be sold (either outright or in connection with a “cashless” exercise transaction through a broker) during a Blackout Period or Special Blackout Period or, if outside a Blackout Period or Special Blackout Period, without receiving the approval of the Committee;
iii.
automatic sales of shares of the Company’s common stock through a Company-contracted service provider or broker to cover any taxes due as a result of the vesting of restricted stock or restricted stock units, where the amount of shares sold is based on the Insider’s taxable income, the market price of the common stock on the date that the restricted stock or restricted stock units vest (the “Vesting Date”) and the market price on the date of the sale, which date shall be as soon as possible after the Vesting Date; and

 

 

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iv.
purchases or sales made pursuant to a 10b5-1 Plan.
e.
Priority of Statutory or Regulatory Trading Restrictions.

 

The trading prohibitions and restrictions set forth in this policy will be superseded by any greater prohibitions or restrictions prescribed by federal or state securities laws and regulations. Any Insider who is uncertain whether other prohibitions or restrictions apply should ask the Compliance Officer.

f.
Notification of Approved Trades After Execution.

 

Any Insider who is permitted to trade Company securities pursuant to any provision of this Section V must notify the Compliance Officer, by email and/or facsimile transmission, promptly upon the execution of such trade, but in no event later than next business day after the execution of such trade. Such notice shall include all relevant details of such trade, including, but not limited to:

a.
the name of the entity in whose name the trade was made;
b.
the type and amount of securities subject to the trade;
c.
the price at which the securities were traded; and
d.
the new number of securities owned, directly or indirectly, by the Insider subsequent to the execution of the trade.
VI.
POTENTIAL CIVIL, CRIMINAL AND DISCIPLINARY SANCTIONS

 

a.
Civil and Criminal Penalties.

 

The consequences of prohibited insider trading or tipping can be severe and can include significant fines and imprisonment. The Company and/or the supervisors of the person violating the rules may also face major civil and/or criminal penalties.

b.
Company Discipline.

 

Violation of this policy or federal or state insider trading or tipping laws by any director, officer or employee, or their family members, or by any corporation, partnerships, trust or other entity owned or controlled by any of the foregoing persons or any Applicable Trust or Applicable Corporation, may subject the director to dismissal proceedings and the officer or employee to disciplinary action by the Company up to and including termination for cause.

 

c.
Reporting of Violations.

Any Insider who violates this policy or any federal or state laws governing insider trading or tipping, or knows of such violation by any other Insiders, must report the violation immediately to the Compliance Officer. Upon learning of any such violation, the Compliance Officer, in consultation with the other Committee member and the Company’s outside legal counsel, will determine whether the Company should release any material nonpublic information, or whether the Company should report the violation to the SEC, Nasdaq, or other appropriate governmental authority.

 

VII.
INQUIRIES.

 

 

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Please direct all inquiries regarding this policy to Nick Pizzie, Chief Financial Officer of the Company or Hunter Murdock, General Counsel of the Company.

 

 

 

8


 

NOTIFICATION OF PROPOSED TRADE

To: Nick Pizzie, Chief Financial Officer (the "Compliance Officer") of Axsome Therapeutics, Inc. (“Axsome”) at traderequest@axsome.com

From: ___________________________________________ (Name of Insider) Date: ___________________________________________

(Please fill out that which is applicable)

 

I hereby notify the Compliance Officer that I intend to exercise _____________________ (number) of options of Axsome common stock on __________ (date), on behalf of ___________ (indicate in whose name the shares will be registered).

I hereby notify the Compliance Officer that I intend to buy/sell (cross out the inapplicable word) _____ (number) of shares of Axsome common stock on ________ (date), on behalf of __________ (indicate in whose name the shares will be registered).

 

In connection with this proposed trade, I hereby certify that:

 

1.
I am not in possession of any "material nonpublic information" concerning Axsome, as defined in Axsome's "Insider Trading Policy" (the "Policy").

 

2.
To the best of my knowledge, the proposed trade does not violate the trading restrictions of Section 16 of the Securities Exchange Act of 1934, as amended, or Rule 144 of the Securities Act of 1933, as amended.

I understand that if I trade while possessing such information or in violation of such trading restrictions, I may be subject to severe civil and/or criminal penalties, and may be subject to sanctions by Axsome as set forth in the Policy.

Submitted by

____________________________________________

(Signature)

 

____________________________________________

(Name)

 

____________________________________________

(Title if signing on behalf of a corporation, partnership or other such entity)

Reviewed and approved/disapproved by the Compliance Officer:

____________________________________________

 

Date: ____________________

 

Send completed form to traderequest@axsome.com

 

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20 Previous Filings that this Filing References

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 8/07/23  Axsome Therapeutics, Inc.         10-Q        6/30/23   90:11M                                    Donnelley … Solutions/FA
 6/08/23  Axsome Therapeutics, Inc.         8-K:5,9     6/02/23   11:352K                                   Donnelley … Solutions/FA
 5/09/23  Axsome Therapeutics, Inc.         10-Q        3/31/23   92:11M                                    Donnelley … Solutions/FA
 8/09/22  Axsome Therapeutics, Inc.         10-Q        6/30/22   81:10M                                    Donnelley … Solutions/FA
 5/02/22  Axsome Therapeutics, Inc.         10-Q        3/31/22   54:10M                                    Donnelley … Solutions/FA
 3/31/22  Axsome Therapeutics, Inc.         8-K/A:1,9   3/25/22   11:1.1M                                   Donnelley … Solutions/FA
11/08/21  Axsome Therapeutics, Inc.         10-Q        9/30/21   54:7.9M                                   Donnelley … Solutions/FA
11/06/20  Axsome Therapeutics, Inc.         10-Q/A      9/30/20   13:340K                                   Toppan Merrill Bridge/FA
11/05/20  Axsome Therapeutics, Inc.         10-Q        9/30/20   52:6.6M                                   Toppan Merrill Bridge/FA
 8/10/20  Axsome Therapeutics, Inc.         10-Q        6/30/20   51:5.6M                                   Toppan Merrill Bridge/FA
 5/11/20  Axsome Therapeutics, Inc.         S-8         5/11/20    5:257K                                   Toppan Merrill Bridge/FA
 3/12/20  Axsome Therapeutics, Inc.         10-K       12/31/19   74:8.5M                                   Toppan Merrill Bridge/FA
 1/13/20  Axsome Therapeutics, Inc.         8-K:1,3,8,9 1/10/20    4:4.2M                                   Toppan Merrill/FA
 9/28/18  Axsome Therapeutics, Inc.         8-K:1,8,9   9/27/18    4:282K                                   Toppan Merrill/FA
 5/08/18  Axsome Therapeutics, Inc.         10-Q        3/31/18   51:3.8M                                   Toppan Merrill Bridge/FA
12/04/17  Axsome Therapeutics, Inc.         8-K:1,7,9  11/30/17    6:434K                                   Toppan Merrill/FA
12/16/15  Axsome Therapeutics, Inc.         S-8        12/16/15    4:151K                                   Toppan Merrill/FA
11/24/15  Axsome Therapeutics, Inc.         8-K:5,9    11/23/15    3:212K                                   Toppan Merrill/FA
11/02/15  Axsome Therapeutics, Inc.         S-1/A      10/30/15    9:3.5M                                   Toppan Merrill-FA
10/13/15  Axsome Therapeutics, Inc.         S-1                   12:3.3M                                   Toppan Merrill-FA
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Filing Submission 0000950170-24-019118   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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