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