0001376339-19-000005.txt : 20190208 0001376339-19-000005.hdr.sgml : 20190208 20190208161300 ACCESSION NUMBER: 0001376339-19-000005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190208 DATE AS OF CHANGE: 20190208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Evans Charles Robert CENTRAL INDEX KEY: 0001292203 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35887 FILM NUMBER: 19580025 MAIL ADDRESS: STREET 1: ONE PARK PLAZA CITY: NASHVILLE STATE: TN ZIP: 37203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MIMEDX GROUP, INC. CENTRAL INDEX KEY: 0001376339 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 262792552 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1775 W OAK COMMONS COURT, NE CITY: MARIETTA STATE: GA ZIP: 30062 BUSINESS PHONE: (770) 651-9100 MAIL ADDRESS: STREET 1: 1775 W OAK COMMONS COURT, NE CITY: MARIETTA STATE: GA ZIP: 30062 FORMER COMPANY: FORMER CONFORMED NAME: Alynx, Co. DATE OF NAME CHANGE: 20060922 5 1 wf-form5_154966036731430.xml FORM 5 X0306 5 2018-12-31 0 0 0 0001376339 MIMEDX GROUP, INC. MDXG 0001292203 Evans Charles Robert C/O MIMEDX GROUP, INC. 1775 WEST OAK COMMONS COURT, NE MARIETTA GA 30062 1 0 0 0 Common Stock 65460 D Stock Option 2.74 2013-09-05 2022-09-05 Common Stock 45000.0 45000 D Stock Option 6.28 2015-07-28 2024-07-27 Common Stock 15000.0 15000 D /s/ Alexandra O. Haden, as power of attorney for Charles Evans 2019-02-08