SEC Form 5 · accession 0001376339-17-000009
MIMEDX GROUP, INC. · MDXG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William Charles Taylor
Officer — President and COO · Director
Period of report
Dec 31, 2016
Accepted (ET)
Jan 25, 2017 · 4:09 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 | Dec 2, 2016 | G | 102,196 | $0.00 | D | 464,370 | D | |
| Common Stock | Dec 2, 2016 | G | 102,196 | $0.00 | A | 102,196 | I | By LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On November 30, 2016, for estate planning purposes, Mr. Taylor transferred 102,196 shares of MiMedx common stock to a limited liability company (LLC) of which he owned 100% of the equity interests (consisting of Class A, Class B and Class C Units) and serves as Managing Member. On December 2, 2016, Mr. Taylor transferred all Class B Units of the LLC to his spouse. Subsequently, Mr. Taylor transferred all Class C units of the LLC to a Grantor Retained Annuity Trust of which his spouse serves as Trustee.