Filing Details

Accession Number:
0001140361-11-022583
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-04-19 14:41:39
Reporting Period:
2011-02-28
Filing Date:
2011-04-19
Accepted Time:
2011-04-19 14:41:39
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1376339 Mimedx Group Inc. MDXG Surgical & Medical Instruments & Apparatus (3841) 900300868
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
901434 H Parker Petit C/O Mimedx Group, Inc.
811 Livingston Court, Suite B
Marietta GA 30067
Chief Executive Officer No Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-02-28 406,664 $0.98 4,036,922 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option Acquisiton 2011-03-18 300,000 $1.23 300,000 $1.23
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
3,761,666 2012-03-18 2021-03-18 No 4 A Direct
Footnotes
  1. Number of shares held directly by Mr. Petit. Mr. Petit also beneficially owns 150,000 shares held by the Parker H. Petit Grantor Trust, of which he serves as the Trustee; 150,000 shares held by Petit Investments LP of which he serves as General Partner and Limited Partner and possesses shared voting and investment control; and 975,000 shares held by Cox Road Partners II LLP, 975,000 shares held by Cox Road Partners LLLP, and 975,000 shares held by Petit Investments LLLP II, limited liability limited partnerships over which Mr. Petit possesses sole voting and investment control.
  2. The stock option vests one-third on March 18, 2012, one-third on March 18, 2013 and one-third on March 18, 2014.
  3. Mr. Petit exercized his option to convert two 5% Convertible Promissory Notes effective 2/28/2011.