0001376339-17-000140.txt : 20171102
0001376339-17-000140.hdr.sgml : 20171102
20171102162629
ACCESSION NUMBER: 0001376339-17-000140
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171026
FILED AS OF DATE: 20171102
DATE AS OF CHANGE: 20171102
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: 171172755
MAIL ADDRESS:
STREET 1: 1850 PARKWAY PL
CITY: MARIETTA
STATE: GA
ZIP: 30067
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
4
1
wf-form4_150965437563211.xml
FORM 4
X0306
4
2017-10-26
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
Restricted Common Stock
2017-10-26
4
A
0
12500
12.23
A
4849351
D
Common Stock
80000
I
By spouse
/s/ Parker H. Petit
2017-11-02