0001376339-18-000006.txt : 20180206 0001376339-18-000006.hdr.sgml : 20180206 20180206160804 ACCESSION NUMBER: 0001376339-18-000006 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180206 DATE AS OF CHANGE: 20180206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOOB CHARLES E CENTRAL INDEX KEY: 0001426480 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35887 FILM NUMBER: 18577690 MAIL ADDRESS: STREET 1: 150 COLUMBUS AVENUE STREET 2: APARTMENT 9C CITY: NEW YORK STATE: NY ZIP: 10023 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 5 1 wf-form5_151795126893518.xml FORM 5 X0306 5 2017-12-31 0 0 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 2017-11-22 5 G 0 4000 0 D 1460628 D This transaction was a gift. Alexandra O. Haden as power of attorney for Charles E. Koob 2018-02-06