0001376339-15-000080.txt : 20150805
0001376339-15-000080.hdr.sgml : 20150805
20150805082840
ACCESSION NUMBER: 0001376339-15-000080
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150804
FILED AS OF DATE: 20150805
DATE AS OF CHANGE: 20150805
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: PETIT PARKER H
CENTRAL INDEX KEY: 0000901434
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35887
FILM NUMBER: 151027565
MAIL ADDRESS:
STREET 1: 1850 PARKWAY PL
CITY: MARIETTA
STATE: GA
ZIP: 30067
4
1
wf-form4_143877771034046.xml
FORM 4
X0306
4
2015-08-04
0
0001376339
MIMEDX GROUP, INC.
MDXG
0000901434
PETIT PARKER H
C/O MIMEDX GROUP, INC.
1775 WEST OAK COMMONS CT., NE
MARIETTA
GA
30062
1
1
0
0
Chairman & CEO
Common Stock
2015-08-04
4
M
0
41667
1.49
A
4779328
D
Common Stock
2015-08-04
4
M
0
35568
1.35
A
4814896
D
Common Stock
2015-08-04
4
M
0
80000
1.38
A
4894896
D
Stock Option
1.49
2015-08-04
4
M
0
41667
1.49
D
2012-01-05
2016-01-04
Common Stock
41667.0
0
D
Stock Option
1.35
2015-08-04
4
M
0
35568
1.35
D
2012-03-18
2016-03-17
Common Stock
35568.0
0
D
Stock Option
1.38
2015-08-04
4
M
0
80000
1.38
D
2013-02-23
2017-02-22
Common Stock
80000.0
0
D
Mr. Petit also indirectly beneficially owns an aggregate of 1,350,000 shares held by six Grantor Retained Annuity Trusts (GRATs).
Option vested in equal installments over three years from the date of the grant.
/s/ Michael J. Senken, by Power of Attorney
2015-08-05