Filing Details
- Accession Number:
- 0001140361-10-000702
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2010-01-05 12:00:00
- Reporting Period:
- 2009-12-31
- Filing Date:
- 2010-01-05
- Accepted Time:
- 2010-01-05 17:15:10
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1376339 | Mimedx Group Inc. | MDXG.OB | Surgical & Medical Instruments & Apparatus (3841) | 900300868 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
901434 | H Parker Petit | 9815 Highway 98W, Unit 930 Miramar Beach FL 32550 | Chief Executive Officer | Yes | Yes | No | 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 | 2009-12-31 | 1,666,667 | $0.60 | 1,682,222 | No | 4 | P | Direct | |
Common Stock | Acquisiton | 2009-12-31 | 100,000 | $0.60 | 100,000 | No | 4 | P | Indirect | By Parker H. Petit Grantor Trust |
Common Stock | Acquisiton | 2009-12-31 | 100,000 | $0.60 | 100,000 | No | 4 | P | Indirect | By Petit Investments, LP |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Direct | |
No | 4 | P | Indirect | By Parker H. Petit Grantor Trust |
No | 4 | P | Indirect | By Petit Investments, LP |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | 5% Convertible Promissory Note | Disposition | 2009-12-31 | 0 | $500,000.00 | 833,333 | $0.60 |
Common Stock | Common Stock Warrants (Right to Buy) | Acquisiton | 2009-12-31 | 833,333 | $0.00 | 833,333 | $1.50 |
Common Stock | Common Stock Warrants (Right to Buy) | Acquisiton | 2009-12-31 | 50,000 | $0.00 | 50,000 | $1.50 |
Common Stock | Common Stock Warrants (Right to Buy) | Acquisiton | 2009-12-31 | 50,000 | $0.00 | 50,000 | $1.50 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | 2009-12-31 | 2009-12-31 | No | 4 | C | Direct |
833,333 | 2010-01-01 | 2014-12-31 | No | 4 | P | Direct |
50,000 | 2010-01-01 | 2014-12-31 | No | 4 | P | Indirect |
50,000 | 2010-01-01 | 2014-12-31 | No | 4 | P | Indirect |
Reported Derivative Holdings
Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|---|---|---|---|
Common Stock | Common Stock Warrants (Right to Buy) | $0.60 | 2009-12-21 | 2012-09-22 | 0 | 1,666,667 | Direct |
Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
---|---|---|---|
2012-09-22 | 0 | 1,666,667 | Direct |
Footnotes
- The 5% Convertible Promissory Note was paid in entirety by the issuer on 12/31/09.
- As a result of the above transaction, in conjunction with the 5% Convertible Promissory Note, the holder was issued warrants to purchase common stock, computed by dividing the aggregate amount of advances under the note by the conversion price and multiplying the resultant quotient by two. The number of derivative securities beneficially owned following the reported transaction on 10/15/09 was incorrectly stated, the revised amount is now properly stated.
- Received one warrant for every two shares of common stock purchased at $.60 per share.
- The reporting person is the trustee of the Trust. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.