0001376339-17-000076.txt : 20170503 0001376339-17-000076.hdr.sgml : 20170503 20170503173045 ACCESSION NUMBER: 0001376339-17-000076 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170501 FILED AS OF DATE: 20170503 DATE AS OF CHANGE: 20170503 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MIMEDX GROUP, INC. CENTRAL INDEX KEY: 0001376339 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 900300868 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1775 W OAK COMMONS COURT, NE CITY: MARIETTA STATE: GA ZIP: 30062 BUSINESS PHONE: 678-384-6720 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOOB CHARLES E CENTRAL INDEX KEY: 0001426480 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35887 FILM NUMBER: 17810654 MAIL ADDRESS: STREET 1: 150 COLUMBUS AVENUE STREET 2: APARTMENT 9C CITY: NEW YORK STATE: NY ZIP: 10023 4 1 wf-form4_149384703159000.xml FORM 4 X0306 4 2017-05-01 0 0001376339 MIMEDX GROUP, INC. MDXG 0001426480 KOOB CHARLES E C/O MIMEDX GROUP, INC. 1775 WEST OAK COMMONS COURT, NE MARIETTA GA 30062 1 0 0 0 Common Stock 2017-05-01 4 J 0 140168 13.14 A 140168 I by Family Trust Common Stock 1312306 D Represents shares which became indirectly owned by the Reporting Person through a substitution of assets in a GRAT. These shares were contributed to the GRAT on May 10, 2016. /s/ Charles E. Koob 2017-05-03