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