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