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