0001376339-19-000007.txt : 20190208 0001376339-19-000007.hdr.sgml : 20190208 20190208163207 ACCESSION NUMBER: 0001376339-19-000007 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190208 DATE AS OF CHANGE: 20190208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hack Bruce CENTRAL INDEX KEY: 0001478931 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35887 FILM NUMBER: 19580386 MAIL ADDRESS: STREET 1: 151 CENTRAL PARK WEST STREET 2: APT 10C 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: 262792552 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1775 W OAK COMMONS COURT, NE CITY: MARIETTA STATE: GA ZIP: 30062 BUSINESS PHONE: (770) 651-9100 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_154966151261160.xml FORM 5 X0306 5 2018-12-31 0 0 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 12153 D Common Stock 707575 I by GRAT Stock Option 0.76 2010-12-16 2019-12-16 Common Stock 50000.0 50000 D Stock Option 1.1 2012-12-14 2021-12-14 Common Stock 15000.0 15000 D Stock Option 2.94 2013-10-31 2022-10-31 Common Stock 15000.0 15000 D Stock Option 6.6 2014-05-09 2023-05-09 Common Stock 15000.0 15000 D Stock Option 6.28 2015-07-28 2024-07-27 Common Stock 15000.0 15000 D /s/ Alexandra O. Haden, as power of attorney for Bruce Hack 2019-02-08