Document:

EX-10.6

 Exhibit 10.6 

AXONICS MODULATION TECHNOLOGIES, INC. 

STOCK OPTION AGREEMENT 

The Board of Directors of Axonics Modulation Technologies, Inc., a Delaware corporation (the “Company”), has approved a grant
to «First_Name» «Last_Name», an individual (the “Optionee”), of an option (the “Option”) to purchase shares of Common Stock of the Company, $0.0001 par value per share (the
“Shares”), pursuant to the Company’s 2014 Stock Incentive Plan as amended from time to time (the “Plan”) and this Stock Option Agreement (the “Option Agreement”), as follows: 

 

			
	Grant Date	  	«Grant_Date»
		
	Total Number of Shares	  	«Total_Number_of_Shares» Shares
		
	Exercise Price Per Share	  	«Exercise_Price_per_Share»
		
	Type of Option (check one)	  	 [«Incentive_Option»] Incentive Option

[«Nonqualified_Option»] Nonqualified Stock Option

		
	Vesting Commencement Date	  	«Vesting_Commencement_Date
		
	Vesting Schedule	  	[_______________________________]
		
	Term of Option	  	The Option will expire ten (10) years from the Grant Date, unless terminated earlier as provided in the Option Agreement.

 By their signatures below, the Company and the Optionee agree that the Option is subject to this Option
Agreement, including the Additional Terms and Conditions (the “Terms”) attached hereto and incorporated herein as part of this Option Agreement, and the provisions of the Plan. In the event there is a conflict or inconsistency
between any provision in this Option Agreement and one or more provisions of the Plan, the provisions of the Plan shall govern. Capitalized terms used in this Option Agreement that are not otherwise defined herein shall have the same meanings as
defined in the Plan. The Optionee acknowledges receipt of copies of both this Option Agreement (including the Terms) and the Plan, and hereby accepts the Option subject to all of their terms and conditions. 

 

			
	 OPTIONEE
  

«First_Name» «Last_Name»
  

_______________________________________________
 Signature

 
 _______________________________________________

Date
  

_______________________________________________
 Address:

 
 _______________________________________________
	  	 COMPANY
  

Axonics Modulation Technologies, Inc.
  

By: _______________________________________________

[Insert Name and Title]
 Address: 
__________________________________________
  

                __________________________________________

 Attachments: Additional Terms and Conditions; Notice of Exercise of Stock Option and Investment Representations;
Axonics Modulation Technologies, Inc., 2014 Stock Incentive Plan. 

 ADDITIONAL TERMS AND CONDITIONS 

The terms and conditions set forth below constitute part of the Stock Option Agreement to which they are attached, and references herein to
the “Option Agreement” include both documents as one agreement. 
 Grant of Option. The Company has granted to the
Optionee an Option to purchase all or any portion of the number of Shares at the exercise price per share (the “Exercise Price”) stated on the first page of this Option Agreement. If the box marked “Incentive Option” on
the first page hereof is checked, then this Option is intended to qualify as an “incentive stock option” as defined in Section 422 of the Internal Revenue Code of 1986, as amended (the “Code”). If this Option fails in
whole or in part to qualify as an incentive stock option, or if the box marked “Nonqualified Option” on the first page hereof is checked, then this Option shall to that extent constitute a nonqualified stock option. 

2. Vesting of Option. The right to exercise this Option shall vest and become exercisable as set forth on the first page
of this Option Agreement. No additional Shares shall vest after the date of termination of Optionee’s “Continuous Service” (as defined below), but this Option shall continue to be exercisable in accordance with Section 3 hereof
with respect to that number of Shares that have vested as of the date of termination of Optionee’s Continuous Service. 
 For purposes
of this Option Agreement, the term “Continuous Service” means (a) employment by either the Company or any parent or subsidiary corporation of the Company, or by a corporation or a parent or subsidiary of a corporation issuing
or assuming a stock option in a transaction to which Section 424(a) of the Code applies, which is uninterrupted except for vacations, illness (not including Disability), or leaves of absence which are approved in writing by the Company or any
of such other employer corporations, if applicable, (b) service as a member of the Board until Optionee resigns, is removed from office, or Optionee’s term of office expires and he or she is not reelected, or (c) so long as Optionee
is engaged as a Consultant or other Service Provider. 
 3. Term of Option. The right of the Optionee to exercise this
Option shall terminate upon the first to occur of the following: 
 (a) the expiration of ten (10) years from the Grant Date; 1 
 (b) the expiration of one
(1) year from the date of termination of Optionee’s Continuous Service if such termination is due to Disability of the Optionee; 

(c) the expiration of one (1) year from the date of termination of Optionee’s Continuous Service if such termination is due
to Optionee’s death or if death occurs during either the three-month or ninety (90) day period following termination of Optionee’s Continuous Service pursuant to Section 3(d) or 3(e) below, as the case may be; 

	 	 

 

	1 	 If Optionee is a 10% Stockholder (as defined in the Plan) as of the Grant Date, and the Option is an Incentive
Option, the Option will expire five (5) years from the Grant Date, unless terminated earlier as provided in the Option Agreement. 

  
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 (d) the expiration of three (3) months from the date of termination of
Optionee’s Continuous Service if such termination occurs for any reason other than Disability, death, voluntary resignation or Cause; provided, however, that if Optionee dies during such three-month period the provisions of Section 3(c)
above shall apply; 
 (e) the expiration of ninety (90) days from the date of termination of Optionee’s Continuous Service
if such termination occurs due to voluntary resignation; provided, however, that if Optionee dies during such ninety (90) day period the provisions of Section 3(c) above shall apply; 

(f) the termination of Optionee’s Continuous Service, if such termination is for Cause; or 

(g) upon the consummation of a “Change in Control” (as defined in the Plan), unless otherwise provided pursuant to
Section 11 below. 
 4. Exercise of Option. 

(a) General. On or after the vesting of any portion of this Option in accordance with Sections 2 or 11 hereof, and until
termination of the right to exercise this Option in accordance with Section 3 above, the portion of this Option that has vested may be exercised in whole or in part by the Optionee (or, after his or her death, by the person designated pursuant
to Section 5 below) upon delivery of the following to the Company at its principal executive offices: 
 (i) The Notice of
Exercise of Stock Option and Investment Representations, in the form attached as Exhibit A to this Option Agreement, which identifies this Option Agreement, states the number of Shares then being
purchased, and sets forth the investment intent of the Optionee or person designated pursuant to Section 5 below, as the case may be; 

(ii) payment of the total Exercise Price for the Shares being purchased in accordance with Section 4(c) below, and if applicable,
4(b) below; and 
 (iii) payment of any applicable withholding taxes in accordance with Section 4(d) below. 

(b) Eligibility to Exercise Prior to Vesting. If the Company has made Optionee eligible for exercise using a Full Recourse
Promissory Note as indicated on the first page of this agreement, on or after the date of this Agreement, and until termination of the right of Optionee, Optionee is eligible to exercise this Option in accordance with Section 3 above, the
portion of this Option that has not vested may be exercised in whole or in part by the Optionee (or, after his or her death, by the person designated pursuant to Section 5 below) upon delivery of the following to the Company at its principal
executive offices: 
 (i) Notice of Exercise of Stock Option and Investment Representations, which identifies this Option Agreement,
states the number of Shares then being purchased, and sets forth the investment intent of the Optionee or person designated pursuant to Section 5 below, as the case may be; 

(ii) a duly executed Restricted Stock Purchase Agreement, substantially in the form attached hereto as Exhibit B, with a
vesting schedule that will result in the same vesting as if no early exercise had occurred; 

  
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 (iii) payment of the total Exercise Price for the Shares being purchased in
accordance with Section 4(c) below; and 
 (iv) payment of any applicable withholding taxes in accordance with
Section 4(c) below, and if made under 4(c)(v) the Pledge Agreement attached hereto. 
 (c) Payment of Exercise Price.
Subject to the approval of the Administrator at the time of exercise and restrictions under applicable law, the Optionee may elect to pay the Exercise Price by any of the following methods of payment: 

(i) cash or check; 

(ii) a “net exercise” arrangement pursuant to which the Company will reduce the number of Shares to be issued upon exercise
by the number of Shares having an aggregate Fair Market Value as of the date of exercise equal to the total Exercise Price. The Shares used to pay the Exercise Price under this “net exercise” provision shall be considered to have resulted
from the exercise of this Option, and accordingly, this Option will not again be exercisable with respect to such Shares, as well as any Shares actually delivered to Optionee; 

(iii) delivery of Shares already owned by Optionee having an aggregate Fair Market Value as of the date of exercise equal to the total
Exercise Price. “Delivery” for these purposes, in the sole discretion of the Administrator at the time of exercise, shall include delivery to the Company of the certificate(s) representing the Shares or Optionee’s attestation of
ownership of such Shares in a form approved by the Administrator; 
 (iv) cancellation of indebtedness of the Company to the
Optionee; 
 (v) delivery by Optionee to the Company of a full recourse promissory note in such form as reasonably approved by the
Company; 
 (vi) waiver of compensation due to and accrued to the Optionee for services rendered; 

(vii) such other form of consideration as may be approved by the Administrator from time to time to the extent permitted by applicable
law; 
 (viii) any combination of the foregoing. 

(d) Withholding. At the time of exercise of this Option, Optionee shall deliver to the Company a check or cash in the amount
reasonably requested by the Company to satisfy the Company’s withholding obligations under federal, state or other applicable tax laws with respect to the taxable income, if any, recognized by the Optionee in connection with the exercise of
this Option, unless the Company and Optionee shall have made other arrangements for deductions or withholding from Optionee’s wages, bonus or other compensation payable to Optionee, or by reduction of the number of Shares to be issued upon
exercise of this Option or the delivery of Shares already owned by Optionee (so long as such withholding will not result in adverse accounting consequences to the Company), provided such arrangements satisfy the requirements of applicable law. 

  
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 5. Death of Optionee; No Assignment. The rights of the Optionee under
this Option Agreement may not be assigned or transferred except by will, the laws of descent and distribution or pursuant to a domestic relations order, and may be exercised during the lifetime of the Optionee only by such Optionee. Any attempt to
sell, pledge, assign, hypothecate, transfer or dispose of this Option in contravention of this Option Agreement or the Plan shall be void and shall have no effect. If the Optionee’s Continuous Service terminates as a result of his or her death,
and provided Optionee’s rights hereunder shall have vested pursuant to Section 2 hereof, Optionee’s legal representative, his or her legatee, or the person who acquired the right to exercise this Option by reason of the death of the
Optionee (individually, a “Successor”) shall succeed to the Optionee’s rights and obligations under this Option Agreement. After the death of the Optionee, only a Successor may exercise this Option. 

6. Representations and Warranties of Optionee. 

(a) Own Account for Investment. Optionee represents and warrants that this Option is being acquired by Optionee for
Optionee’s personal account, for investment purposes only, and not with a view to the distribution, resale or other disposition thereof. At no time was Optionee presented with or solicited by any publicly issued or circulated newspaper, mail,
radio, television or other form of general advertising or solicitation in connection with the offer, sale and purchase of the Shares. 

(b) Shares Unregistered. Optionee acknowledges that the Company may issue Shares upon the exercise of the Option without
registering such Shares under the Securities Act of l933, as amended (the “Securities Act”), on the basis of certain exemptions from such registration requirement. Accordingly, Optionee agrees that his or her exercise of the Option
may be expressly conditioned upon his or her delivery to the Company of an investment certificate including such representations and undertakings as the Company may reasonably require in order to assure the availability of such exemptions, including
a representation that Optionee is acquiring the Shares for investment and not with a present intention of selling or otherwise disposing thereof and an agreement by Optionee that the certificates evidencing the Shares may bear a legend indicating
such non-registration under the Securities Act and the resulting restrictions on transfer. Optionee acknowledges that, because Shares received upon exercise of an Option may be unregistered, Optionee may be
required to hold the Shares indefinitely unless they are subsequently registered for resale under the Securities Act or an exemption from such registration is available. 

(c) Agrees to Terms of the Plan. Optionee has received a copy of the Plan and has read and understands the terms of the
Plan and this Option Agreement, and agrees to be bound by their terms and conditions. Optionee understands that all rights and obligations connected with this Option are set forth in this Option Agreement and in the Plan. 

(d) SEC Rule 144. Optionee has been advised that Rule 144 promulgated under the Securities Act, which permits certain
limited sales of unregistered securities, is not presently available with respect to the Shares and, in any event, requires that the Shares be held for a minimum of six (6) months, and in certain cases one (1) year, after they have been
purchased and paid for (within the meaning of Rule 144). Optionee understands that use of a promissory note as payment for the Shares may not be deemed to be “full payment of the purchase price” within the meaning of Rule 144 unless
certain conditions are met and that, accordingly, the Rule 144 holding period of such Shares may not begin to run until such Shares are fully paid for within the meaning of Rule 144. Optionee understands that Rule 144 may indefinitely restrict
transfer of the Shares so long as Optionee remains an “affiliate” of the Company or if “current public information” about the Company (as defined in Rule 144) is not publicly available. Optionee understands that, in the case of
securities to which Rule 144 is not applicable, compliance with some other exemption under the Securities Act will be required. 

  
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 (e) Tax Consequences. Optionee acknowledges that there may be adverse
tax consequences upon exercise of this Option or disposition of the Shares, and that Optionee should consult a tax adviser prior to such exercise or disposition. Optionee acknowledges that the Exercise Price has been determined by the Administrator
based upon the best evidence available to the Administrator and is intended to equal the Fair Market Value of the Shares as of the date of grant, or in some cases 110% of Fair Market Value, as required by the Code. However, the tax treatment of this
Option is not guaranteed. Optionee agrees to bear the entire risk of adverse tax consequences if this Option Agreement is later determined to be have been granted at below Fair Market Value and acknowledges and agrees that neither the Company, the
Administrator nor any of their designees shall be liable for any taxes, penalties or other monetary amounts owed by the Optionee, employee, beneficiary or other person as a result of the grant, amendment, modification, exercise and/or payment of, or
under, this Option Agreement, notwithstanding any challenge made to the determination of Fair Market Value by any taxing authority. Optionee represents that prior to purchase or disposition of the Shares, Optionee will consult with his/her own tax
advisor who Optionee deems advisable in connection with the purchase or disposition of the Shares and Optionee is not relying on the Company for any tax advice. Attached is a brief summary of certain federal income tax consequences of receipt of a
stock option, and Optionee acknowledges that receipt of this Option and participation in the Plan may have consequences under state and local tax laws which may vary from the federal tax consequences as attached. 

(f) Personal Data. Optionee acknowledges and agrees to the collection, use and transfer, in electronic or other form, of
Optionee’s personal data in order to implement, administer and manage the Plan. Optionee acknowledges that the Company holds certain personal information regarding the Optionee (including, but not limited to, name, home address and telephone
number, date of birth, social security or insurance number or other identification number, salary, nationality, job title, any shares of stock or directorships held in the Company, details of all Awards or any other entitlement to Shares awarded,
cancelled, purchased, exercised, vested, unvested or outstanding in Optionee’s favor (“Data”). Optionee acknowledges that the Data may be transferred to any third-parties assisting in the implementation, administration and
management of the Plan, that third-parties may be located in the United States or elsewhere. Optionee authorizes recipients of the Data to receive, possess, use, retain and transfer the Data, in electronic or other form, for the purposes of
implementing, administering and managing Optionee’s participation in the Plan, including any requisite transfer of such Data, as may be required to a broker or other third party with whom Optionee may elect to deposit any Shares acquired under
the Plan. Optionee understands that the Data will be held only as long as is necessary to implement, administer and manage participation in the Plan. Optionee understands that he/she may view his/her Data, request additional information about the
storage and processing of the Data, require any necessary amendments to the Data or refuse or withdraw the consents herein, in any case without cost, by contacting the Administer in writing. Optionee understands that refusing or withdrawing consent
may affect Optionee’s ability to participate in the Plan. 
 7. Transfer Limitations. 

(a) General. The Optionee shall not assign, encumber or dispose of any interest in the Shares acquired pursuant to the exercise
of this Option while the Shares are subject to the Company’s Repurchase Right (as defined below). In the event the Repurchase Right expires 

  
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unexercised as to any Shares, or the Company releases any Shares from the Repurchase Right, the Optionee shall not assign, encumber or dispose of any interest in such Shares other than in
compliance with the provisions of Section 6(b) hereof. 
 (b) Right of First Refusal. 

(i) The Shares acquired pursuant to the exercise of this Option may be sold by the Optionee only in compliance with the provisions of
this Section 7(b). Prior to any intended sale, Optionee shall first give written notice (the “Offer Notice”) to the Company specifying (i) his or her bona fide intention to sell or otherwise transfer such Shares,
(ii) the name and address of the proposed purchaser(s), (iii) the number of Shares the Optionee proposes to sell (the “Offered Shares”), (iv) the price for which he or she proposes to sell the Offered Shares, and
(v) all other material terms and conditions of the proposed sale. 
 (ii) Within thirty (30) days after receipt of the
Offer Notice, the Company or its nominee(s) may elect to purchase all or any portion of the Offered Shares at the price and on the terms and conditions set forth in the Offer Notice by delivery of written notice (the “Acceptance
Notice”) to the Optionee specifying the number of Offered Shares that the Company or its nominees elect to purchase. Within fifteen (15) days after delivery of the Acceptance Notice to the Optionee, the Company and/or its nominee(s)
shall deliver to the Optionee payment of the amount of the purchase price of the Offered Shares to be purchased pursuant to this Section 7(b), against delivery by the Optionee of a certificate or certificates representing the Offered Shares to
be purchased, duly endorsed for transfer to the Company or such nominee(s), as the case may be. Payment shall be made on the same terms as set forth in the Offer Notice or, at the election of the Company or its nominees(s), by check or wire transfer
of funds. If the Company and/or its nominee(s) do not elect to purchase all of the Offered Shares, the Optionee shall be entitled to sell the balance of the Offered Shares to the purchaser(s) named in the Offer Notice at the price specified in the
Offer Notice or at a higher price and on the terms and conditions set forth in the Offer Notice; provided, however, that such sale or other transfer must be consummated within sixty (60) days from the date of the Offer Notice and any proposed
sale after such sixty-day period may be made only by again complying with the procedures set forth in this Section 7. 

(iii) The Optionee may transfer all or any portion of the Shares to a trust established for the sole benefit of the Optionee and/or
his or her spouse or children without such transfer being subject to the right of first refusal set forth in this Section 7, provided that the Shares so transferred shall remain subject to the terms and conditions of this Agreement and no
further transfer of such Shares may be made without complying with the provisions of this Section 7. 
 (iv) Any Successor of
Optionee pursuant to Section 5 hereof, and any transferee of the Shares pursuant to this Section 7, shall hold the Shares subject to the terms and conditions of this Agreement and no further transfer of the Shares may be made without
complying with the provisions of this Section 7. 
 (v) The rights provided the Company and its nominee(s) under this
Section 7 shall terminate upon the closing of the initial public offering of shares of the Company’s Common Stock pursuant to a registration statement filed with and declared effective by the Securities and Exchange Commission under the
Securities Act. 

  
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 (c) Binding on Successors and Transferees. Any Successor of Optionee pursuant
to Section 5 hereof, and any transferee of the Shares pursuant to this Section 7, shall hold the Shares subject to the terms and conditions of this Option Agreement and no further transfer of the Shares may be made without complying with
the provisions of this Option Agreement and the Stockholders Agreement. 
 (d) Termination of Rights. The rights provided the
Company and its nominee(s) under this Section 7 shall terminate upon the closing of the initial public offering of shares of the Company’s Common Stock pursuant to a registration statement filed with and declared effective by the
Securities and Exchange Commission under the Securities Act. 
 (e) Assignment of Rights. The Company may assign its rights
under this Section 7 without the consent of the Optionee. 
 8. Company’s Repurchase Right. 

(a) Repurchase Right. In the event of a termination an Optionee’s Continuous Service for Cause, the Company
shall have the right to repurchase all vested and unvested shares of Common Stock acquired pursuant to the exercise of an Option at the Repurchase Price (defined below). Upon termination for any reason other than for Cause, the Company
shall have the right to repurchase any unvested Shares acquired pursuant to the exercise of an Option at the Repurchase Price. The Repurchase Right may be exercised at any time during the period commencing on the date of termination
of Optionee’s Continuous Service and ending ninety (90) days after the last to occur of the following: 
 (i) the
termination of Optionee’s Continuous Service; 
 (ii) the expiration of Optionee’s right to exercise this Option pursuant
to Section 3 hereof; or 
 (iii) in the event of Optionee’s death, receipt by the Company of notice of the identity and
address of Optionee’s Successor (as defined in Section 5 hereof). 
 (b) Repurchase Price. Repurchase will be at
the Exercise Price Optionee paid to acquire the Shares and will be effected pursuant to such other terms and conditions, and at such time, as the Company shall determine. 

(c) Notice of Exercise. Written notice of exercise of the Repurchase Right, stating the number of Shares to be repurchased and
the Repurchase Price per Share, shall be given by the Company to the Optionee or his or her Successor, as the case may be, during the period specified in Section 8(a) above. 

(d) Method of Settlement. The Repurchase Price shall be payable, at the option of the Company, by cash or check, by
cancellation of all or a portion of any outstanding indebtedness of Optionee to the Company, or by any combination thereof. The Repurchase Price shall be paid without interest within thirty (30) days after delivery of the notice of exercise of
the Repurchase Right, against delivery by the Optionee or his or her Successor of a certificate or certificates representing the Shares to be repurchased, duly endorsed for transfer to the Company. 

  
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 (e) Assignment of Right. The Company may assign its Repurchase Right under
this Section 8 without the consent of the Optionee. 
 9. Restrictive Legends. 

(a) Optionee hereby acknowledges that federal securities laws and the securities laws of the state in which he or she resides may
require the placement of certain restrictive legends upon the Shares issued upon exercise of this Option. Optionee understands and agrees that the Company shall cause the legends set forth below or legends substantially equivalent thereto, to be
placed upon any certificate(s) evidencing ownership of the Shares together with any other legends that may be required by the Company or by state or federal securities laws: 

“THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933; THEY HAVE BEEN ACQUIRED BY THE
HOLDER FOR INVESTMENT AND MAY NOT BE PLEDGED, HYPOTHECATED, SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF EXCEPT AS MAY BE AUTHORIZED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, AND THE RULES AND REGULATIONS PROMULGATED THEREUNDER.” 

(b) In addition, all stock certificates evidencing the Shares shall be imprinted with a legend substantially as follows: 

“THE SHARES OF STOCK REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO CERTAIN RESTRICTIONS ON TRANSFER, REPURCHASE RIGHTS AND A RIGHT OF
FIRST REFUSAL IN FAVOR OF THE CORPORATION AND/OR ITS NOMINEE(S), AS SET FORTH IN A STOCK OPTION AGREEMENT, TRANSFER OF THESE SHARES MAY BE MADE ONLY IN COMPLIANCE WITH THE PROVISIONS OF SAID AGREEMENT, A COPY OF WHICH IS ON FILE AT THE PRINCIPAL
OFFICE OF SAID CORPORATION. SUCH TRANSFER RESTRICTIONS, REPURCHASE RIGHTS AND RIGHT OF FIRST REFUSAL ARE BINDING ON TRANSFEREES OF THESE SHARES.” 

10. Adjustments Upon Changes in Capital Structure. In the event that the outstanding shares of Common Stock of the
Company are hereafter increased or decreased or changed into or exchanged for a different number or kind of shares or other securities of the Company by reason of a recapitalization, stock split, combination of shares, reclassification, stock
dividend or other change in the capital structure of the Company, then appropriate adjustment shall be made by the Administrator to the number of Shares subject to the unexercised portion of this Option and to the Exercise Price per share, in order
to preserve, as nearly as practical, but not to increase, the benefits of the Optionee under this Option, in accordance with the provisions of Section 4.2 of the Plan. Notwithstanding anything in this Option Agreement to the contrary, as
provided in Section 8.3 of the Plan, (a) any adjustments made pursuant to this Section 10 to Options that are considered “deferred compensation” within the meaning of Section 409A of the Code shall be made in compliance
with the requirements of Section 409A of the Code; (b) any adjustments made pursuant to this Section 10 to Options that are not considered “deferred compensation” subject to Section 409A of the Code shall be made in
such a manner as to ensure that after such adjustment the Options either (i) continue not to be subject to Section 409A of the Code or (ii) comply with the requirements of Section 409A of the Code; and

  
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(c) in any event, the Administrator shall not have the authority to make any adjustments pursuant to this Section 10 to the extent the existence of such authority would cause an Option
that is not intended to be subject to Section 409A of the Code at the time of grant to be subject thereto. 
 11. Change
in Control. In the event of a Change in Control (as defined in the Plan) the right to exercise this Option shall accelerate automatically and vest in full (notwithstanding the provisions of Section 2 above) effective as of immediately
prior to the consummation of the Change in Control. If vesting of this Option will accelerate pursuant to the preceding sentence, the Administrator in its discretion may provide, in connection with the Change in Control transaction, for the purchase
or exchange of this Option for an amount of cash or other property having a value equal to the difference (or “spread”) between: (x) the value of the cash or other property that the Optionee would have received pursuant to the
Change in Control transaction in exchange for the Shares issuable upon exercise of this Option had this Option been exercised immediately prior to the Change in Control, and (y) the aggregate Exercise Price for such Shares. If the vesting of
this Option will accelerate pursuant to this subsection (a), then the Administrator shall cause written notice of the Change in Control transaction to be given to the Optionee not less than fifteen (15) days prior to the anticipated effective
date of the proposed transaction. 
 12. No Retention Rights. Nothing in this Option Agreement shall obligate the
Company or any Affiliated Company, or their respective stockholders, directors, officers or employees, to continue any relationship that Optionee might have as a director, employee, Consultant or other Service Provider of the Company. The right of
the Company or any Affiliated Company to terminate at will Optionee’s employment at any time (whether by dismissal, discharge or otherwise), with or without Cause, is specifically reserved. Moreover, the Optionee acknowledges and agrees that
the vesting of right to exercise the Option pursuant to this Option Agreement is earned only by continuing service as a service provider at will. The Optionee further acknowledges and that this Option Agreement, the transactions contemplated
hereunder and the vesting schedule, if any, do not constitute an express or implied promise of continued employment or engagement as a service provider for the vesting period, or for any period at all, and shall not interfere with the
Optionee’s right or the Company’s or Affiliated Company’s right to terminate the Optionee’s relationship with the Company or Affiliated Company at any time, with or without Cause or notice. 

13. Rights as Stockholder. The Optionee (or transferee of this option by will or by the laws of descent and distribution)
shall have no rights as a stockholder with respect to any Shares covered by this Option until such person has duly exercised this Option, paid the Exercise Price and become a holder of record of the Shares purchased. 

14. “Market Stand-Off” Agreement. In connection with any underwritten
public offering by the Company of its equity securities pursuant to an effective registration statement filed under the Securities Act, including the Company’s initial public offering, the Optionee or a transferee shall not directly or
indirectly sell, make any short sale of, loan, hypothecate, pledge, offer, grant or sell any option or other contract for the purchase of, purchase any option or other contract for the sale of, or otherwise dispose of or transfer, or agree to engage
in any of the foregoing transactions with respect to, any Shares without the prior written consent of the Company or its managing underwriter. Such restriction (the “Market Stand-Off”) shall
be in effect for such period of time following the date of the final prospectus for the offering as may be requested by the Company or such underwriter. In no event, however, shall such period exceed one hundred eighty (180) days plus such
additional period as may reasonably be requested by the Company or such underwriter to accommodate regulatory restrictions on (i) the publication or other distribution of research reports or 

  
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(ii) analyst recommendations and opinions, including (without limitation) the restrictions set forth in Rule 2711(f)(4) of the National Association of Securities Dealers and
Rule 472(f)(4) of the New York Stock Exchange, as amended, or any similar successor rules promulgated by the Financial Industry Regulatory Authority, Inc. In the event of the declaration of a stock dividend, a spin off, a stock split, an
adjustment in conversion ratio, a recapitalization or a similar transaction affecting the Company’s outstanding securities without receipt of consideration, any new, substituted or additional securities which are by reason of such transaction
distributed with respect to any Shares subject to the Market Stand-Off, or into which such Shares thereby become convertible, shall immediately be subject to the Market
Stand-Off. Optionee or transferee further agrees to execute and deliver such other agreements as may be reasonably requested by the Company and/or the underwriter(s) that are consistent with the foregoing or
that are necessary to give further effect thereto. In addition, if reasonably requested by the Company or the representative of the underwriters of Common Stock (or other securities) of the Company, Optionee or transferee shall provide, within ten
(10) days of such request, such information as may be required by the Company or such representative in connection with the completion of any public offering of the Company’s securities pursuant to a registration statement filed under the
Securities Act. In order to enforce the Market Stand-Off, the Company may impose stop-transfer instructions with respect to the Shares acquired under this Option Agreement until the end of the applicable stand-off period. The Company’s underwriters shall be beneficiaries of the agreement set forth in this Section 15. 

15. Interpretation. This Option is granted pursuant to the terms of the Plan, and shall in all respects be interpreted in
accordance therewith. To the extent of any conflict or ambiguity between the terms of the this Option Agreement and the Plan, the terms of the Plan shall govern, and the Administrator shall interpret and construe this Option Agreement and the Plan,
and any action, decision, interpretation or determination made in good faith by the Administrator shall be final and binding on the Company and the Optionee. 

16. Notices. Any notice, demand, offer, request or other communication required or permitted to be given by either the
Company or the Optionee pursuant to the terms of this Option Agreement shall be in writing and shall be deemed effectively given the earlier of (a) when received, (b) when delivered personally, (c) one business day after being
delivered by facsimile (with receipt of appropriate confirmation), (d) one business day after being deposited with an overnight courier service, or (e) four days after being deposited in the U.S. mail, First Class with postage prepaid and
return receipt requested, and addressed to the parties at the addresses provided to the Company (which the Company agrees to disclose to the other parties upon request) or such other address as a party may request by notifying the other in writing.

 17. Governing Law. The validity, construction, interpretation, and effect of this Option shall be governed by and
determined in accordance with the laws of the State of Delaware without regard for conflicts of laws principles. 
 18.
Severability. Should any provision or portion of this Option Agreement be held to be unenforceable or invalid for any reason, the remaining provisions and portions of this Option Agreement shall be unaffected by such holding. 

19. Attorneys’ Fees. If any party shall bring an action in law or equity against another to enforce or interpret any
of the terms, covenants and provisions of this Option Agreement, the prevailing party in such action shall be entitled to recover reasonable attorneys’ fees and costs. 

  
 11 

 20. Counterparts. This Option Agreement may be executed in two or more
counterparts, each of which shall be deemed an original and all of which together shall be deemed one instrument. 
 21.
Reliance on Counsel and Advisors. The Optionee acknowledges that he or she has had the opportunity to review this Option Agreement, including all attachments hereto, and the transactions contemplated by this Option Agreement with his
or her own legal counsel, tax advisors and other advisors. The Optionee is relying solely on his or her own counsel and advisors and not on any statements or representations of the Company or its agents for legal or other advice with respect to this
investment or the transactions contemplated by this Option Agreement. 
 22. Confidentiality. Optionee agrees and
acknowledges that the terms and conditions of this Option Agreement are confidential and shall not be disclosed to any third party other than the (a) Administrator of the Plan, the Company’s Chief Executive Officer, or the Company’s
Chief Financial Officer and (b) Optionee’s professional advisors. 
 23. California Corporate Securities Law.
The sale of the shares that are the subject of this Option Agreement has not been qualified with the Commissioner of Corporations of the State of California and the issuance of such shares or the payment or receipt of any part of the consideration
therefor prior to such qualification is unlawful, unless the sale of such shares is exempt from such qualification by Section 25100, 25102 or 25105 of the California Corporate Securities Law of l968, as amended. The rights of all parties to
this Option Agreement are expressly conditioned upon such qualification being obtained, unless the sale is so exempt. 
 24.
409A Waiver. Optionee agrees to all terms and conditions as described in the waiver attached in Exhibit C, which is incorporated into this Option Agreement by this reference. 

25. Additional Agreements. Optionee hereby agrees that if required by the Administrator, (a) any Common Stock
issuable upon exercise of this Option that is required to be bound by the Voting Agreement dated as of March 27, 2014, and as has been amended from time-to-time,
(collectively the “Voting Agreement”), shall be bound by and subject to the terms of the Voting Agreement, and (b) the Voting Agreement shall be adopted by the Optionee with the same force and effect as if the Optionee were
originally a party thereto. 

  
 12 

 EXHIBIT A 

NOTICE OF EXERCISE OF 

STOCK OPTION AND INVESTMENT REPRESENTATIONS 

Name of Optionee: ______________________________ 

Axonics Modulation Technologies, Inc. [Insert Company Address] 

Attention: ______________ 
 Ladies and Gentlemen: 

I hereby exercise my option (the “Option”) to purchase shares of Common Stock, $0.0001 par value per share (the
“Shares”), of Axonics Modulation Technologies, Inc., a Delaware corporation (the “Company”), pursuant to the Stock Option Agreement, dated _____________, 201_, granted to me under the Company’s 2014 Stock
Incentive Plan. The number of Shares that I am purchasing at this time is set forth below, and my check payable to the Company in the amount of the Total Exercise Price is enclosed with this Notice of Exercise: 

Number of Shares purchased hereby:    ____________________________ 

Exercise Price per
Share:                        $___________________________ 

Total Exercise
Price:                                $___________________________ 

In connection with the exercise of my Option, I hereby represent to the Company that: 

1. I am acquiring the Shares for my own account, for investment purposes only, and not with a view to the distribution, resale or other
disposition thereof. 
 2. I understand that the Shares are being issued by the Company without having first registered them under the
Securities Act of 1933, as amended (the “Securities Act”), or the securities laws of any state, on the basis of certain exemptions from such registration requirements which depend, in part, upon the truth and accuracy of my
representations made herein. 
 3. Without in any way limiting the representations set forth above, I agree that I will not dispose of any
interest in the Shares unless and until (a) I shall have notified the Company of the proposed disposition; (b) I shall have furnished the Company with an opinion of counsel to the effect that such disposition will not require registration
under the Securities Act, and (c) such opinion of counsel shall have been concurred in by the Company’s counsel. 
 4. I
acknowledge receipt of all information as I deem necessary and appropriate to enable me to evaluate the merits and risks of my investment in the Shares, including information concerning the business and financial condition of the Company, and that I
have had the opportunity to discuss such information with, and ask questions of, an officer of the Company. 

  
 1 

 5. I am an investor of sufficient sophistication and experience to make an informed
investment decision regarding my purchase of the Shares, and I am able to bear the economic risk of an investment in the Shares. I am aware of the highly speculative nature of the investment in the Shares; the financial hazards involved; the lack of
liquidity of the Shares and the restrictions on transferability of the Shares (e.g., that I may not be able to sell or dispose of the Shares or use them as collateral for loans); the qualifications and backgrounds of the management of the Company;
and the tax consequences of investment in the Shares. 
 6. I recognize that the Shares must be held indefinitely unless they are
subsequently registered under the Securities Act or an exemption from such registration is available, and further recognize that the Company is under no obligation to register the Shares or to comply with any exemption from such registration. 

7. I have been advised that Rule 144 promulgated under the Securities Act, which permits certain limited sales of unregistered securities, is
not presently available with respect to the Shares and, in any event, requires that the Shares be held for a minimum of three (3) months, and in certain cases one (1) year, after they have been purchased and paid for (within the meaning of
Rule 144). I understand that use of a promissory note as payment for the Shares may not be deemed to be “full payment of the purchase price” within the meaning of Rule 144 unless certain conditions are met and that, accordingly, the Rule
144 holding period of such Shares may not begin to run until such Shares are fully paid for within the meaning of Rule 144. I understand that Rule 144 may indefinitely restrict transfer of the Shares so long as I remain an “affiliate” of
the Company or if “current public information” about the Company (as defined in Rule 144) is not publicly available. I further understand that, in the case of securities to which Rule 144 is not applicable, compliance with some other
exemption under the Securities Act will be required. 
  

	
	   

	 «First_Name» «Last_Name» (Signature)

	
	 
	 Date

  
 2 

 EXHIBIT B 

[NOT APPLICABLE: FORM OF RESTRICTED STOCK PURCHASE AGREEMENT] 

  
 1 

 EXHIBIT C 

CODE SECTION 409A WAIVER AND RELEASE 

THIS WAIVER AND RELEASE (“Waiver”) is made as of this ______ day of __________, 201__, by the Optionee holding an option to
purchase shares of Common Stock, $0.0001 par value per share (the “Shares”), of Axonics Modulation Technologies, Inc., a Delaware corporation (the “Company”), pursuant to the Stock Option Agreement, dated ________, 201_, granted
under the Company’s 2014 Stock Incentive Plan as amended from time to time (the “Plan”). 
 All capitalized terms in this
Waiver shall have the meaning assigned to them in the Plan. 
 Optionee hereby agrees and acknowledges that the Board has taken reasonable
steps to value the Common Stock and to set the Exercise Price at the Fair Market Value per share of Shares on the Grant Date so that the Option will not be treated as an item of deferred compensation subject to Code Section 409A. Were the
Internal Revenue Service to conclude that the Option is subject to Code Section 409A, then Optionee would be subject the following adverse tax consequences: 

(i) As the Option vests, Optionee would immediately recognize taxable income for federal income tax purposes equal to the
amount by which the fair market value of the Shares with respect to which the Options vest at that time exceeds the Exercise Price payable for those shares. The Company would also have to collect from Optionee the federal income and employment taxes
which must be withheld on that income. Taxation would occur in this manner even though the Option remains unexercised. 

(ii) Optionee may also be subject to additional income taxation and withholding taxes on any subsequent increases to the fair
market value of the Common Stock purchasable under the vested Option until the Option is exercised or cancelled as to those shares. 

(iii) In addition to normal income taxes payable as the Option vests, Optionee would also be subject to an additional tax
penalty equal to 20% of the amount of income Optionee recognizes under Code Section 409A when the Option vests and may also be subject to such penalty as the underlying shares subsequently increase in fair market value over the period the
Option continues to remain outstanding. 
 (iv) There will also be interest penalties if the resulting taxes are not paid on
a timely basis. 
 Optionee hereby further agrees and acknowledges that Optionee will incur the same tax consequences, including (without
limitation) a second 20% penalty tax, under California income tax laws if Optionee is a resident of the State of California or is otherwise subject to California income taxation. If the Optionee is a resident of any other State, he or she accepts
the risk of any unfavorable tax consequences under the laws of that State. 
 Optionee hereby agrees to bear the entire risk of such adverse
federal and State tax consequences in the event the Option is deemed to be subject to Code Section 409A and hereby knowingly and voluntarily, in consideration for the grant of the Option, waives and releases any and all claims or causes of
action that Optionee might otherwise have against the Company and/or its Board, officers, employees or stockholders arising from or relating to the tax treatment of the Option 

  
 1 

 
under Code Section 409A and the corresponding provisions of any applicable State income tax laws (including, without limitation, California income tax laws) and shall not seek any
indemnification or other recovery of damages against the Company and/or its Board, officers, employees or stockholders with respect to any adverse federal and State tax consequences or other related costs and expenses Optionee may in fact incur
under Code Section 409A (or the corresponding provisions of State income tax laws) as a result of the Option. 
 (Signature) 

  
 2EX-10.7

 Exhibit 10.7 

AXONICS MODULATION TECHNOLOGIES, INC. 

RESTRICTED STOCK PURCHASE AGREEMENT 

The Board of Directors of Axonics Modulation Technologies, Inc., a Delaware corporation (the “Company”), has approved
a grant to «First_ Name» «Last_ Name», an individual (the “Participant”), of restricted shares of Common Stock of the Company, $0.0001 par value per share (the “Shares”), pursuant to the
Company’s 2014 Stock Incentive Plan (the “Plan”) and this Restricted Stock Purchase Agreement (the “Purchase Agreement”), as follows: 
  

			
	Grant Date	  	«Grant Date»
		
	Total Number of Shares	  	«Total Number of Shares» Shares
		
	Purchase Price Per Share	  	«Purchase_ Price per_ Share»
		
	Total Purchase Price	  	$________________
		
	Vesting Commencement Date	  	«Vesting_Commencement_Date»
		
	Vesting Schedule	  	«Vesting_Schedule»

 By their signatures below, the Company and the Participant agree that the Shares are subject to
this Purchase Agreement, including the Additional Terms and Conditions (the “Terms”) attached hereto and incorporated herein as part of this Purchase Agreement, and the provisions of the Plan. In the event there is a conflict
or inconsistency between any provision in this Purchase Agreement and one or more provisions of the Plan, the provisions of the Plan shall govern. Capitalized terms used in this Purchase Agreement that are not otherwise defined herein shall have the
same meanings as defined in the Plan. The Participant acknowledges receipt of copies of both this Purchase Agreement (including the Terms) and the Plan, and hereby accepts the Shares subject to all of their terms and conditions. 

 

							
	PARTICIPANT	  		  	COMPANY
			
	«First Name» «Last Name»	  		  	Axonics Modulation Technologies, Inc.
				
	  
	  		  	By:	  	  

	Signature	  		  		  	[Insert Name and Title]
	  
	  		  		  	
	Date	  		  		  	
	  
	  		  	Address:                                   
                                         
           
	Address	  		  		  	                                      
                                         
           

 Attachments: Additional Terms and Conditions; Stock Assignment Separate from Certificate; Form of IRC
Section 83(b) Election; Axonics Modulation Technologies, Inc. 2014 Stock Incentive Plan. 

  
 1 

 ADDITIONAL TERMS AND CONDITIONS 

The terms and conditions set forth below constitute part of the Restricted Stock Purchase Agreement to which they are attached, and references
herein to the “Purchase Agreement” include both documents as one agreement. 
 1. Issuance of Shares and
Consideration. The Company agrees to issue to the Participant the number of Shares at the purchase price per share (the “Purchase Price”) stated on the first page of this Purchase Agreement, which Purchase Price shall be
paid by any of the following methods of payment 
 (a) cash or check; 

(b) cancellation of indebtedness of the Company to the Optionee; 

(c) delivery by Optionee to the Company of a full recourse promissory note in such form as reasonably approved by the Company; 

(d) waiver of compensation due to and accrued to the Optionee for services rendered; 

(e) such other form of consideration as may be approved by the Administrator from time to time to the extent permitted by applicable
law; and 
 (f) any combination of the foregoing. 

2. Vesting of Shares. Subject to Section 3(f) below, the Shares acquired hereunder shall vest and become
“Vested Shares” as set forth on the first page of this Purchase Agreement. Shares which have not yet become vested are herein called “Unvested Shares.” Shares which have not yet become vested are herein called
“Unvested Shares.” No additional shares shall vest after the date of termination of Participant’s Continuous Service. For these purposes, the “Vesting Commencement Date” shall be as set forth on the first
page of this Purchase Agreement. 
 For purposes of this Purchase Agreement, the term “Continuous Service”
means (a) Participant’s employment by either the Company or any Affiliated Company, or by a successor entity following a Change in Control, which is uninterrupted except for vacations, illness (not including Disability), or leaves of
absence which are approved in writing by the Company or any of such other employer corporations, as applicable, (b) service as a member of the Board until the Participant resigns, is removed from office, or Participant’s term of
office expires and he or she is not reelected, or (c) so long as the Participant is engaged as a Consultant or other Service Provider. 
 3.
Reconveyance Upon Termination of Service. 
 (a) Repurchase Right. The Company shall have the right (but not the
obligation) to repurchase (the “Repurchase Right”) any or all of the Shares in the event that the Participant’s Continuous Service terminates for any reason (such date of termination of Continuous Service, the
“Termination Date”). Upon exercise of the Repurchase Right, the Participant shall be obligated to sell his or her Shares to the Company, as provided in this Section 3. In the event the Company does not exercise the
Repurchase Right with respect to all of the Shares, the Company shall nevertheless continue to have the “right of first refusal” (the “Right of First Refusal”) with respect to any remaining Shares during the period
and as set forth in Section 4 below. 

  
 2 

 (b) Repurchase Price. The repurchase price of the Shares (the “Repurchase
Price”) shall be determined as follows: 
 (i) the Repurchase Price for any Vested Shares shall be equal to the Fair
Market Value (as determined in accordance with the Plan) of such Vested Shares as of the Termination Date; and 
 (ii) the Repurchase
Price for any Unvested Shares shall be equal to the lesser of (1) the original Purchase Price of such Unvested Shares, or (2) the Fair Market Value (as determined in accordance with the Plan) of such Unvested Shares as of the Termination
Date. 
 (c) Procedure for Exercise of Reconveyance Option. For ninety (90) days after the Termination Date or other event
described in this Section 3, the Company may exercise the Repurchase Right by giving Participant and/or any other person obligated to sell the Shares written notice of the number of Shares which the Company desires to purchase; provided,
however, the Company shall automatically repurchase all Unvested Shares as of the Termination Date, without notice or further action on the part of the Company being necessary, unless the Company affirmatively elects not to repurchase some or all of
such Unvested Shares. The Repurchase Price for the Shares (as determined pursuant to Section 3(b)) shall be payable, at the option of the Company, by cash or check, by cancellation of all or a portion of any outstanding indebtedness of
Participant to the Company, or by any combination thereof. In the event the Company does not exercise the Repurchase Right with respect to all of the Shares, the Company shall nevertheless continue to have the Right of First Refusal with respect to
any such remaining Shares as set forth in Section 4(b). 
 (d) Notification and Settlement. In the event that the
Company has elected to exercise the Repurchase Right as to part or all of the Shares within the period described above, Participant or such other person shall deliver to the Company certificate(s) representing the Shares to be acquired by the
Company within thirty (30) days following the date of the notice from the Company. The Company shall deliver to Participant against delivery of the Shares, a check of the Company, or such other form of payment permitted under Section 3(c),
payable to Participant and/or any other person obligated to transfer the Shares in the aggregate amount of the Repurchase Price to be paid as set forth in Section 3(b) above. 

(e) Escrow of Shares. For purposes of facilitating the enforcement of the provisions of this Section 3, Participant agrees,
immediately upon receipt of certificate(s) for any Shares, to deliver such certificate(s), together with a Stock Assignment Separate from Certificate in the form attached to this Purchase Agreement as Exhibit A, duly executed,
in blank, to the Secretary of the Company, or the Secretary’s designee, to hold such certificate(s) and Stock Assignment Separate from Certificate in escrow and to take all such actions and to effectuate all such transfers and/or releases
as are in accordance with the terms of this Purchase Agreement. Participant hereby acknowledges that the Secretary of the Company, or the Secretary’s designee, is so appointed as the escrow holder with the foregoing authorities as a material
inducement to make this Purchase Agreement and that said appointment is coupled with an interest and is accordingly irrevocable. Participant agrees that said escrow holder shall not be liable to any party hereof (or to any other party). The escrow
holder may rely upon any letter, notice or other document executed by any signature purported to be genuine and may resign at any time. Participant agrees that if the Secretary of the Company, or the Secretary’s designee, resigns as escrow
holder for any or no reason, the Administrator shall have the power to appoint a successor to serve as escrow holder pursuant to the terms of this Purchase Agreement. Participant shall be entitled to vote and to receive dividends and distributions
on all such deposited Shares. 
 (f) Termination. The Repurchase Right shall terminate as follows: 

  
 3 

 (i) In accordance with Section 3(g) below; and 

(ii) Upon the closing of an initial public offering (a “Public Offering”) of shares of the Company’s Common Stock
pursuant to a registration statement filed with and declared effective by the Securities and Exchange Commission under the Securities Act of 1933, as amended (the “Securities Act”). 

(g) Change in Control. Notwithstanding Section 2, if Participant holds Shares at the time a Change in Control occurs,
all Repurchase Rights shall automatically terminate immediately prior to the consummation of such Change in Control and the Shares subject to those terminated Repurchase Rights shall immediately vest in full. 

(h) Involuntary Transfers. If the Participant: (i) files a voluntary petition under any bankruptcy or insolvency law or a
petition for the appointment of a receiver or makes an assignment for the benefit of creditors; (ii) is subjected involuntarily to such a petition or assignment or to an attachment or other legal or equitable interest with respect to
the Shares and such involuntary petition or assignment or attachment is not discharged within sixty (60) days after its date; or (iii) is required to transfer the Shares by operation of law or by order or decree of any court, then the
Company shall have the option to exercise the Repurchase Right, whether or not the Continuous Service of the Participant shall then have terminated. 

(i) Assignment of Repurchase Right. The Company may assign its Repurchase Right under this Section 3 without the consent of
the Participant. 
 4. Transfer Limitations. 

(a) General. The Participant shall not assign, encumber or dispose of any interest in the Shares while the Shares are subject to
the Company’s Repurchase Right. In the event the Repurchase Right expires unexercised as to any Shares, or the Company releases any Shares from the Repurchase Right, the Participant shall not assign, encumber or dispose of any interest in such
Shares other than in compliance with the provisions of Section 4 hereof. 
 (b) Right of First Refusal. 

(i) The Shares acquired hereunder may be sold by the Participant only in compliance with the provisions of this Section 4(b).
Prior to any intended sale, Participant shall first give written notice (the “Offer Notice”) to the Company specifying (i) his or her bona fide intention to sell or otherwise transfer such Shares, (ii) the name and
address of the proposed purchaser(s), (iii) the number of Shares the Participant proposes to sell (the “Offered Shares”), (iv) the price for which he or she proposes to sell the Offered Shares, and (v) all other
material terms and conditions of the proposed sale. 
 (ii) Within 30 days after receipt of the Offer Notice, the Company or its
nominee(s) may elect to purchase all or any portion of the Offered Shares at the price and on the terms and conditions set forth in the Offer Notice by delivery of written notice (the “Acceptance Notice”) to the Participant
specifying the number of Offered Shares that the Company or its nominees elect to purchase. Within 15 days after delivery of the Acceptance Notice to the Optionee, the Company and/or its nominee(s) shall deliver to the Participant payment of
the amount of the purchase price of the Offered Shares to be purchased pursuant to this Section 4(b), against delivery by the Participant of a certificate or certificates representing the Offered Shares to be purchased, duly endorsed for
transfer to the Company or such nominee(s), as the case may be. Payment shall be made on the same terms as set forth in the Offer Notice or, at the election of the Company or its nominees(s), by check or wire transfer of funds. If the

  
 4 

 
Company and/or its nominee(s) do not elect to purchase all of the Offered Shares, the Participant shall be entitled to sell the balance of the Offered Shares to the purchaser(s) named in the
Offer Notice at the price specified in the Offer Notice or at a higher price and on the terms and conditions set forth in the Offer Notice; provided, however, that such sale or other transfer must be consummated within 60 days from the date of the
Offer Notice and any proposed sale after such 60-day period may be made only by again complying with the procedures set forth in this Section 4. 

(iii) The Participant may transfer all or any portion of the Shares to a trust established for the sole benefit of the Participant
and/or his or her spouse or children without such transfer being subject to the right of first refusal set forth in this Section 4, provided that the Shares so transferred shall remain subject to the terms and conditions of this Agreement and
no further transfer of such Shares may be made without complying with the provisions of this Section 4. 
 (iv) Any Successor of
Participant and any transferee of the Shares pursuant to this Section 4, shall hold the Shares subject to the terms and conditions of this Agreement and no further transfer of the Shares may be made without complying with the provisions of this
Section 4. 
 (v) The rights provided the Company and its nominee(s) under this Section 4 shall terminate upon the closing of
the initial public offering of shares of the Company’s Common Stock pursuant to a registration statement filed with and declared effective by the Securities and Exchange Commission under the Securities Act. 

(c) Binding on Transferees. Any transferee of the Shares, shall hold the Shares subject to the terms and conditions of this
Purchase Agreement and no further transfer of the Shares may be made without complying with the provisions of this Section 4. 

(d) Legend. Until such time as the Company’s Right of First Refusal lapses and ceases to have effect pursuant to the
provisions of Section 4(f), the stock certificates for the Shares purchased pursuant to this Purchase Agreement shall be endorsed with the following legend: 

“THE SHARES REPRESENTED BY THIS CERTIFICATE MAY NOT BE SOLD, ASSIGNED, TRANSFERRED, PLEDGED OR ENCUMBERED, EXCEPT IN CONFORMITY WITH THE
TERMS OF A RESTRICTED STOCK PURCHASE AGREEMENT BETWEEN THE COMPANY AND THE REGISTERED HOLDER OF THE SHARES (OR HIS PREDECESSOR IN INTEREST). SUCH AGREEMENT GRANTS CERTAIN RIGHTS OF FIRST REFUSAL TO THE COMPANY (OR ITS NOMINEE(S)) UPON THE SALE,
ASSIGNMENT, TRANSFER, PLEDGE OR ENCUMBRANCE OF THE SHARES. A COPY OF SUCH AGREEMENT IS ON FILE AT THE PRINCIPAL OFFICE OF THE COMPANY.” 

(e) Termination of Rights. The rights provided the Company and its nominee(s) under this Section 4 shall terminate upon the
consummation of a Public Offering as defined in Section 3(f) above, or immediately prior to the consummation of a Change in Control whereupon the Shares will be exchanged for shares of a successor corporation, which shares are Publicly
Held (as defined in the Plan). 
 (f) Assignment of Rights. The Company may assign its rights under this Section 4
without the consent of the Participant. 
 5. Adjustments Upon Changes in Capital Structure. In the event that the
outstanding shares of Common Stock of the Company are hereafter increased or decreased or changed into or  

  
 5 

 
exchanged for a different number or kind of shares or other securities of the Company by reason of a recapitalization, stock split, combination of shares, reclassification, stock dividend, or
other change in the capital structure of the Company, then Participant shall be entitled to new or additional or different shares of stock or securities, in order to preserve, as nearly as practical, but not to increase, the benefits of Participant
under this Purchase Agreement, in accordance with the provisions of Section 4.2 of the Plan. Such new, additional or different shares shall be deemed “Shares” for purposes of this Purchase Agreement and subject to all of the
terms and conditions hereof. Notwithstanding anything in this Purchase Agreement to the contrary, as provided in Section 8.3 of the Plan, (a) any adjustments made pursuant to this Section 5 to Restricted Stock awards that are
considered “deferred compensation” within the meaning of Section 409A of the of the Internal Revenue Code of 1986, as amended (the “Code”) shall be made in compliance with the requirements of Section 409A of the
Code; (b) any adjustments made pursuant to this Section 5 to Restricted Stock awards that are not considered “deferred compensation” subject to Section 409A of the Code shall be made in such a manner as to ensure that after
such adjustment the Restricted Stock awards either (i) continue not to be subject to Section 409A of the Code or (ii) comply with the requirements of Section 409A of the Code; and (c) in any event, the Administrator
shall not have the authority to make any adjustments pursuant to this Section 5 to the extent the existence of such authority would cause Restricted Stock awards that are not intended to be subject to Section 409A of the Code at the
time of grant to be subject thereto. 
 6. Shares Free and Clear. All Shares purchased by the Company pursuant to this
Purchase Agreement shall be delivered by Participant free and clear of all claims, liens and encumbrances of every nature (except the provisions of this Purchase Agreement and any conditions concerning the Shares relating to compliance with
applicable federal or state securities laws), and the purchaser thereof shall acquire full and complete title and right to all of the shares, free and clear of any claims, liens and encumbrances of every nature (again except for the provisions of
this Purchase Agreement and such securities laws). 
 7. Investment Representations. The Participant acknowledges that
he or she is aware that the Shares to be issued to him or her by the Company pursuant to this Purchase Agreement have not been registered under the Securities Act. In this connection, the Participant warrants and represents to the Company as
follows: 
 (a) Participant is purchasing the Shares solely for the Participant’s own account for investment and not with
a view to or for sale or distribution of the Shares or any portion thereof and not with any present intention of selling, offering to sell or otherwise disposing of or distributing the Shares or any portion thereof. The Participant also represents
that the entire legal and beneficial interest of the Shares the Participant is purchasing is being purchased for, and will be held for the account of, the Participant only and neither in whole nor in part for any other person. 

(b) Participant has heretofore discussed the Company and its plans, operations and financial condition with its officers and that the
Participant has heretofore received all such information as the Participant deems necessary and appropriate to enable the Participant to evaluate the financial risk inherent in making an investment in the Shares of the Company and the Participant
further represents and warrants that the Participant has received satisfactory and complete information concerning the business and financial condition of the Company in response to all inquiries in respect thereof. 

(c) The Participant realizes that the purchase of the Shares is a highly speculative investment and represents that the Participant is
able, without impairing the Participant’s financial condition, to hold the Shares for an indefinite period of time and to suffer a complete loss on the investment. 

  
 6 

 (d) The Company hereby discloses to the Participant and the Participant hereby
acknowledges that: 
 (i) the offer and sale of the Shares have not been registered under the Securities Act, and such Shares must be
held indefinitely unless a transfer of them is subsequently registered under the Securities Act, or an exemption from such registration is available; 

(ii) the share certificate representing the Shares will be stamped with the legends restricting transfer specified in this Purchase
Agreement; and 
 (iii) the Company will make a notation in its records of the aforementioned restrictions on transfer and legends.

 (e) The Participant understands that the Shares are restricted securities within the meaning of Rule 144 promulgated under the
Securities Act and that any sale of the Shares may be made by him or her only in compliance with the terms and conditions of Rule 144. 

(f) Without in any way limiting any of the other provisions of this Purchase Agreement or its representations set forth above, the
Participant further agrees that the Participant shall in no event make any disposition of all or any portion of the Shares which the Participant is purchasing unless and until: 

(i) there is then in effect a Registration Statement under the Securities Act, covering such proposed disposition and such disposition
is made in accordance with said Registration Statement; or 
 (ii) (A) the Participant shall have notified the Company of the
proposed disposition and shall have furnished the Company with a detailed statement of the circumstances surrounding the proposed disposition, (B) the Participant shall have furnished the Company with an opinion of counsel to the effect
that such disposition will not require registration of such shares under the Securities Act, and (C) such opinion of counsel shall have been concurred in by counsel for the Company and the Company shall have advised the Participant of such
concurrence. 
 8. Limitation of Company’s Liability for Nonissuance; Unpermitted Transfers. 

(a) The Company agrees to use its reasonable best efforts to obtain from any applicable regulatory agency such authority or approval as
may be required in order to issue and sell the Shares to Participant pursuant to this Purchase Agreement. The inability of the Company to obtain, from any such regulatory agency, authority or approval deemed by the Company’s counsel to be
necessary for the lawful issuance and sale of the Shares hereunder and under the Plan shall relieve the Company of any liability in respect of the nonissuance or sale of such Shares as to which such requisite authority or approval shall not
have been obtained. 
 (b) The Company shall not be required to: (i) transfer on its books any Shares of the Company which shall
have been sold or transferred in violation of any of the provisions set forth in this Purchase Agreement, or (ii) treat as owner of such Shares or to accord the right to vote as such owner or to pay dividends to any transferee to whom such
Shares shall have been so transferred. In the event of a sale of Shares by the Participant in accordance with this Agreement, the Participant shall furnish to the Company proof that such sale was made in compliance with the provisions of this as to
price and general terms of such sale. 

  
 7 

 9. Notices. Any notice, demand, offer, request or other communication required
or permitted to be given by either the Company or the Participant pursuant to the terms of this Purchase Agreement shall be in writing and shall be deemed effectively given the earlier of (i) when received, (ii) when delivered
personally, (iii) one business day after being delivered by facsimile (with receipt of appropriate confirmation), (iv) one business day after being deposited with an overnight courier service or (v) four days after being deposited in
the U.S. mail, First Class with postage prepaid and return receipt requested, and addressed to the parties at the addresses provided to the Company (which the Company agrees to disclose to the other parties upon request) or such other address as a
party may request by notifying the other in writing. 
 10. Binding Obligations. All covenants and agreements herein
contained by or on behalf of any of the parties hereto shall bind and inure to the benefit of the parties hereto and their permitted successors and assigns. 

11. Captions and Section Headings. Captions and section headings used herein are for convenience only, and are not part of this
Purchase Agreement and shall not be used in construing it. 
 12. Amendment. This Purchase Agreement may not be
amended, waived, discharged, or terminated other than by written agreement of the parties. 
 13. Entire Agreement.
This Purchase Agreement and the Plan shall constitute the entire agreement between the parties with respect to the subject matter hereof and supersede all prior or contemporaneous written or oral agreements and understandings of the parties, either
express or implied. To the extent of any conflict or ambiguity between the terms of this Purchase Agreement and the Plan, the terms of the Plan shall govern, and the Administrator shall interpret and construe this Purchase Agreement and the
Plan, and any action, decision, interpretation or determination made in good faith by the Administrator shall be final and binding on the Company and the Participant. 

14. Assignment. Participant shall have no right, without the prior written consent of the Company, to (a) sell, assign,
mortgage, pledge or otherwise transfer any interest or right created hereby, or (b) delegate his or her duties or obligations under this Purchase Agreement. This Purchase Agreement is made solely for the benefit of the parties hereto, and no
other person, partnership, association or corporation shall acquire or have any right under or by virtue of this Purchase Agreement. 

15. Severability. Should any provision or portion of this Purchase Agreement be held to be unenforceable or invalid for any
reason, the remaining provisions and portions of this Purchase Agreement shall be unaffected by such holding. 
 16.
Counterparts. This Purchase Agreement may be executed in two or more counterparts, each of which shall be deemed an original and all of which together shall be deemed one instrument. 

17. Governing Law. The validity, construction, interpretation, and effect of this Purchase Agreement shall be governed by and
determined in accordance with the laws of the State of Delaware without regard for choice of law or conflicts of laws principles. 

18. No Retention Rights. Nothing in this Purchase Agreement shall obligate the Company or any Affiliated Company, or their
respective stockholders, directors, officers or employees, to continue any relationship that Participant might have as a director, employee, Consultant or other Service Provider of the Company. The right of the Company or any Affiliated Company to
terminate at will Participant’s employment at any time (whether by dismissal, discharge or otherwise), with or without Cause, is specifically reserved. Moreover, the Participant acknowledges and agrees that the vesting of Shares 

  
 8 

 
pursuant to this Purchase Agreement is earned only by continuing service as a service provider at will. The Participant further acknowledges that this Purchase Agreement, the transactions
contemplated hereunder and the vesting schedule, if any, do not constitute an express or implied promise of continued employment or engagement as a service provider for the vesting period, or for any period at all, and shall not interfere with
the Participant’s right or the Company’s or Affiliated Company’s right to terminate the Participant’s relationship with the Company or Affiliated Company at any time, with or without Cause or notice. 

19. “Market Stand-Off’ Agreement. In connection with any underwritten public offering by the Company of its
equity securities pursuant to an effective registration statement filed under the Securities Act, including the Company’s initial public offering, the Participant or a transferee shall not directly or indirectly sell, make any short sale of,
loan, hypothecate, pledge, offer, grant or sell any option or other contract for the purchase of, purchase any option or other contract for the sale of, or otherwise dispose of or transfer, or agree to engage in any of the foregoing transactions
with respect to, any Shares without the prior written consent of the Company or its managing underwriter. Such restriction (the “Market Stand-Off’) shall be in effect for such period of time following the date of the final
prospectus for the offering as may be requested by the Company or such underwriter. In no event, however, shall such period exceed 180 days plus such additional period as may reasonably be requested by the Company or such underwriter to
accommodate regulatory restrictions on (a) the publication or other distribution of research reports or (b) analyst recommendations and opinions, including (without limitation) the restrictions set forth in Rule 2711(f)(4) of the National
Association of Securities Dealers and Rule 472(f)(4) of the New York Stock Exchange, as amended, or any similar successor rules promulgated by the Financial Industry Regulatory Authority, Inc. In the event of the declaration of a stock
dividend, a spin off, a stock split, an adjustment in conversion ratio, a recapitalization or a similar transaction affecting the Company’s outstanding securities without receipt of consideration, any new, substituted or additional
securities which are by reason of such transaction distributed with respect to any Shares subject to the Market Stand-Off, or into which such Shares thereby become convertible, shall immediately be subject to the Market Stand-Off. In addition, if
reasonably requested by the Company or the representative of the underwriters of Common Stock (or other securities) of the Company, Participant or a transferee shall provide, within ten (10) days of such request, such information as may be
required by the Company or such representative in connection with the completion of any public offering of the Company’s securities pursuant to a registration statement filed under the Securities Act. In order to enforce the Market
Stand-Off, the Company may impose stop-transfer instructions with respect to the Shares acquired under this Purchase Agreement until the end of the applicable stand-off period. The Company’s underwriters shall be beneficiaries of the agreement
set forth in this Section 19. 
 20. Stop-Transfer Notices. The Participant agrees that to ensure compliance with the
restrictions referred to herein, the Company may issue appropriate “stop transfer” instructions to its transfer agent, if any, and that, if the Company transfers its own securities, it may make appropriate notations to the same effect
in its own records. 
 21. Tax Elections. The Participant has reviewed with the Participant own tax advisors the
federal, state, local and foreign tax consequences of this investment and the transactions contemplated by this Purchase Agreement. The Participant is relying solely on such advisors and not on any statements or representations of the Company or any
of its agents. The Participant understands that the Participant (and not the Company) shall be responsible for any tax liability that may arise as a result of the transactions contemplated by this Purchase Agreement. The Participant understands that
Section 83 of the Code, generally taxes as ordinary income the difference between the purchase price for the Shares and the fair market value of the Shares as of the date any restrictions on the Shares lapse. In this context,
“restriction” includes the right of the Company to buy back the Shares pursuant to the Repurchase Right. The Participant understands that the Participant may elect to be taxed at the time the Shares are purchased

  
 9 

 
rather than when and as the Repurchase Right expires by filing an election under Section 83(b) of the Code with the IRS within 30 days from the date of purchase. THE FORM FOR MAKING
THIS SECTION 83(b) ELECTION IS ATTACHED TO THIS PURCHASE AGREEMENT AS EXHIBIT B AND THE PARTICIPANT (AND NOT THE COMPANY OR ANY OF ITS AGENTS) SHALL BE SOLELY RESPONSIBLE FOR APPROPRIATELY FILING SUCH FORM, EVEN IF THE PARTICIPANT
REQUESTS THE COMPANY OR ITS AGENTS TO MAKE THIS FILING ON THE PARTICIPANT’S BEHALF. 
 22. Withholding. Participant shall
deliver a check or cash to the Company in the amount reasonably requested by the Company to satisfy the Company’s withholding obligations under federal, state or other applicable tax laws with respect to the taxable income, if any, recognized
by the Participant in connection with the vesting of any portion of the Shares in accordance with the terms of this Purchase Agreement, or in connection with the Participant’s Section 83(b) election, as the case may be (unless the
Company consented to other arrangements for deductions or withholding from Participant’s wages, bonus or other compensation payable to Participant, or by the delivery of Shares owned by the Participant in accordance with the Plan, provided such
arrangements satisfy the requirements of applicable tax, securities, or other applicable law). 
 23. Attorneys’
Fees. If any party shall bring an action in law or equity against another to enforce or interpret any of the terms, covenants and provisions of this Purchase Agreement, the prevailing party in such action shall be entitled to recover
reasonable attorneys’ fees and costs. 
 24. Reliance on Counsel and Advisors. The Participant acknowledges that
he or she has had the opportunity to review this Purchase Agreement, including all attachments hereto, and the transactions contemplated by this Purchase Agreement with his or her own legal counsel, tax advisors and other advisors. The
Participant is relying solely on his or her own counsel and advisors and not on any statements or representations of the Company or its agents for legal or other advice with respect to this investment or the transactions contemplated by this
Purchase Agreement. 
 25. California Corporate Securities Law. The sale of the shares that are the subject of this
Restricted Stock Purchase Agreement has not been qualified with the Commissioner of Corporations of the State of California and the issuance of such shares or the payment or receipt of any part of the consideration therefor prior to such
qualification is unlawful, unless the sale of such shares is exempt from such qualification by Section 25100, 25102 or 25105 of the California Corporate Securities Law of 1968, as amended. The rights of all parties to this Restricted Stock
Purchase Agreement are expressly conditioned upon such qualification being obtained, unless the sale is so exempt. 

  
 10 

 EXHIBIT A 

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE 

FOR VALUE RECEIVED and pursuant to that certain Restricted Stock Purchase Agreement dated as of
                    201    , the undersigned hereby sells, assigns and transfers unto
                                         
                                         
                  (                ) shares of Common Stock of the Company,
$0.0001 par value per share of Axonics Modulation Technologies, Inc., a Delaware corporation, standing in the undersigned’s name on the books of said corporation represented by certificate number
                    delivered herewith, and does hereby irrevocably constitute and appoint
                                         
                   as attorney-in-fact, with full power of substitution, to transfer said stock on the books of said corporation. 

Dated:
                                         
        
  

	
	  

	(Signature)
	
	  

	(Spouse’s Signature, if any)
	
	  

	(Print Name)

 This Stock Assignment Separate From Certificate was executed in conjunction with the terms of a Restricted Stock
Purchase Agreement between the above assignor and the above corporation, dated as of             , 201    . 

 EXHIBIT B 

SECTION 83(b) ELECTION 

The undersigned taxpayer hereby elects, pursuant to Section 83(b) of the Internal Revenue Code of 1986, as amended, to include in
his or her gross income the amount of any compensation taxable to him or her in connection with his or her receipt of the property described below: 

1. The name, address and taxpayer identification number of the undersigned are as follows: 

 

			
	NAME OF TAXPAYER:	  	  

		
	TAXPAYER’S ADDRESS:	  	  

		
		  	  

		
		  	  

		
	TAXPAYER SSN:	  	  

 2. The property with respect to which the election is made is described as follows:
            shares of Common Stock, $0.0001 par value per share (the “Shares”), of Axonics Modulation Technologies, Inc. (the “Company”). 

3. The date on which the property was transferred is:             ,
201        . 
 4. The taxable year for which the election is made is:
201        . 
 5. The property is subject to the following restrictions: The Shares may be
repurchased by the Company, or its assignee, upon the occurrence of certain events. This right lapses with regard to a portion of the Shares over time. 

6. The fair market value at the time of transfer, determined without regard to any restriction other than a restriction which by its terms will
never lapse, of such property is: $            per share. 
 7. The amount, if
any, paid for such property: $            per share. 
 The undersigned has
submitted a copy of this statement to the person for whom the services were performed in connection with the undersigned’s receipt of the above-described property. The transferee of such property is the person performing the services in
connection with the transfer of said property. 
 The undersigned understands that the foregoing election may not be revoked except
with the consent of the Commissioner. 
  

			
	Dated:
                                         
                       	 	  

		 	«First_Name » «Last_Name», Taxpayer

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