SEC Form 5 · accession 0001376339-19-000008
MIMEDX GROUP, INC. · MDXG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles E Koob
Director
Period of report
Dec 31, 2018
Accepted (ET)
Feb 8, 2019 · 4:34 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 | May 1, 2017 | J | 140,168 | $0.00 | D | 1,320,460 | D | |
| Common Stock | Jun 8, 2017 | J | 597,306 | $0.00 | D | 723,154 | D | |
| Common Stock | May 1, 2017 | J | 140,168 | $0.00 | A | 140,168 | I | by Family Trust |
| Common Stock | Jun 8, 2017 | J | 597,306 | $0.00 | A | 737,474 | I | by Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $1.20 | holding | — | — | — | May 11, 2011 | May 10, 2020 | Common Stock | 15,000 | 15,000 | D |
| Stock Option | $1.10 | holding | — | — | — | Dec 14, 2012 | Dec 13, 2021 | Common Stock | 15,000 | 15,000 | D |
| Stock Option | $2.94 | holding | — | — | — | Oct 31, 2013 | Oct 30, 2022 | Common Stock | 15,000 | 15,000 | D |
| Stock Option | $6.60 | holding | — | — | — | May 9, 2014 | May 8, 2023 | Common Stock | 15,000 | 15,000 | D |
| Stock Option | $6.28 | holding | — | — | — | Jul 28, 2015 | Jul 27, 2024 | Common Stock | 15,000 | 15,000 | D |
Explanation of responses
- F1Transaction represents a mere change in form of beneficial ownership - transfer of shares from direct holdings to a family trust.