SEC Form 4 · accession 0001376339-15-000016
MIMEDX GROUP, INC. · MDXG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Parker H Petit
Officer — Chairman & CEO · Director
Period of report
Feb 23, 2015
Accepted (ET)
Feb 23, 2015 · 6:55 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001376339
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 23, 2015 | M | 153,571 | $0.73 | A | 4,625,114 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $0.73 | Feb 23, 2015 | M | 153,571 | D | Feb 24, 2009 | Feb 24, 2019 | Common Stock | 153,571 | 0 | D |
Explanation of responses
- F1177,705 of these shares are Restricted Stock. Mr. Petit also indirectly beneficially owns an aggregate of 1,350,000 shares held by six (6) Grantor Retained Annuity Trusts (GRATs).
- F2Option was granted on 2/24/09. A portion of these options vested immediately with the remainder vesting over two years from the date of the grant.