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