SEC Form 5 · accession 0001376339-16-000114
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
Dec 31, 2015
Accepted (ET)
Jan 26, 2016 · 4:08 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 Stock | Apr 2, 2015 | G | 200,000 | $0.00 | D | 4,826,821 | D | |
| Common Stock | Apr 2, 2015 | G | 200,000 | $0.00 | A | 200,000 | I | By spouse |
| Common Stock | Apr 2, 2015 | G | 90,000 | $0.00 | D | 4,736,821 | D | |
| Common Stock | May 21, 2015 | G | 200,000 | $0.00 | D | 0 | I | By spouse |
| Common Stock | Nov 16, 2015 | G | 1,700 | $0.00 | D | 4,735,121 | D | |
| Common Stock | Nov 17, 2015 | G | 1,350,000 | $0.00 | D | 0 | I | by GRATs |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction involved a gift of securities by the reporting person to his spouse.
- F2In previous reports, Mr. Petit has reported indirect ownership of an aggregate of 1,350,000 shares held by six (6) Grantor Retained Annuity Trusts (GRATs) established for estate planning purposes for the benefit of his heirs. On November 17, 2015, Mr. Petit resigned as Trustee of each of the GRATs, and, as such, ceased to have beneficial ownership of the shares as of that date.