0001376339-17-000080.txt : 20170517
0001376339-17-000080.hdr.sgml : 20170517
20170517165908
ACCESSION NUMBER: 0001376339-17-000080
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170515
FILED AS OF DATE: 20170517
DATE AS OF CHANGE: 20170517
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: Hack Bruce
CENTRAL INDEX KEY: 0001478931
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35887
FILM NUMBER: 17852333
MAIL ADDRESS:
STREET 1: 151 CENTRAL PARK WEST
STREET 2: APT 10C
CITY: NEW YORK
STATE: NY
ZIP: 10023
4
1
wf-form4_149505472655971.xml
FORM 4
X0306
4
2017-05-15
0
0001376339
MIMEDX GROUP, INC.
MDXG
0001478931
Hack Bruce
C/O MIMEDX GROUP, INC.
1775 WEST OAK COMMONS COURT, NE
MARIETTA
GA
30062
1
0
0
0
Common Stock
2017-05-15
4
J
0
269479
15.19
A
269479
I
Family Trust
Common Stock
438096
D
Represents shares that became indirectly owned by the Reporting Person through a substitution of assets in a GRAT.
/s/ Alexandra O. Haden, as power of attorney for Bruce Hack
2017-05-17