0001188112-13-000774.txt : 20130325 0001188112-13-000774.hdr.sgml : 20130325 20130325152842 ACCESSION NUMBER: 0001188112-13-000774 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20130325 DATE AS OF CHANGE: 20130325 GROUP MEMBERS: RICHARD L. JACKSON SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MIMEDX GROUP, INC. CENTRAL INDEX KEY: 0001376339 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 900300868 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-83552 FILM NUMBER: 13713992 BUSINESS ADDRESS: STREET 1: 811 E LIVINGSTON COURT STREET 2: SUITE B CITY: MARIETTA STATE: GA ZIP: 30076 BUSINESS PHONE: 678-384-6720 MAIL ADDRESS: STREET 1: 811 E LIVINGSTON COURT STREET 2: SUITE B CITY: MARIETTA STATE: GA ZIP: 30076 FORMER COMPANY: FORMER CONFORMED NAME: Alynx, Co. DATE OF NAME CHANGE: 20060922 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Jackson Investment Group, LLC CENTRAL INDEX KEY: 0001571267 IRS NUMBER: 205783109 STATE OF INCORPORATION: GA FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 2655 NORTHWINDS PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30009 BUSINESS PHONE: 770-643-5529 MAIL ADDRESS: STREET 1: 2655 NORTHWINDS PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30009 SC 13G 1 t75918_sc13g.htm SCHEDULE 13G t75918_sc13g.htm


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
(Amendment No. ________)*
 
MiMedx Group, Inc.
(Name of Issuer)
 
Common Stock, $0.0001 par value per share
(Title of Class of Securities)
 
602496101
(CUSIP Number)
 
March 30, 2012
(Date of Event Which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
 
o
Rule 13d-1(b)
 
 
x
Rule 13d-1(c)
 
 
o
Rule 13d-1(d)
 
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
 
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 

 
 
SCHEDULE 13G
 
CUSIP No.
602496101 
 
Page 2 of 6 Pages
 
         
1
NAME OF REPORTING PERSONS
 
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
   
 
Jackson Investment Group, LLC      20-5783109
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  (SEE INSTRUCTIONS)
 
   
(a)
   
o
   
(b)
   
o
3
SEC USE ONLY
 
     
         
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
     
 
State of Georgia, United States of America
 
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
5
SOLE VOTING POWER
 
     
     
6
SHARED VOTING POWER
 
     
 
4,348,773
 
7
SOLE DISPOSITIVE POWER
 
     
     
8
SHARED DISPOSITIVE POWER
 
     
 
4,348,773
 
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
     
 
4,348,773
 
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
 
 
CERTAIN SHARES  (SEE INSTRUCTIONS)
 
     
   
o
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
     
 
5.48%
 
12
TYPE OF REPORTING PERSON  (SEE INSTRUCTIONS)
 
     
 
OO (limited liability company)
 
 
 
 

 
 
SCHEDULE 13G
 
CUSIP No.
602496101 
 
Page 3 of 6 Pages
 
         
1
NAME OF REPORTING PERSONS
 
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
       
 
Richard L. Jackson
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  (SEE INSTRUCTIONS)
     
(a)
      o
     
(b)
     
o
3
SEC USE ONLY
 
       
       
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
       
 
United States of America
 
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH
5
SOLE VOTING POWER
 
     
     
6
SHARED VOTING POWER
 
     
 
4,348,773
 
7
SOLE DISPOSITIVE POWER
 
     
     
8
SHARED DISPOSITIVE POWER
 
     
 
4,348,773
 
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
       
 
4,348,773
 
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
 
 
CERTAIN SHARES  (SEE INSTRUCTIONS)
 
     
o
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
       
 
5.48%
 
12
TYPE OF REPORTING PERSON  (SEE INSTRUCTIONS)
 
       
 
IN
 
 
 

 
 
CUSIP No.
602496101 
 
Page 4 of 6 Pages
 
ITEM 1.
(a) Name of Issuer:
 
MiMedx Group, Inc.
 
(b) Address of Issuer’s Principal Executive Offices:
 
60 Chastain Center Boulevard
Suite 60
Kennesaw, Georgia  30144
 
ITEM 2.
(a) Name of Persons Filing:
 
Jackson Investment Group, LLC
Richard L. Jackson
 
(b) Address of Principal Business Office, or if None, Residence:
 
For both persons filing:
 
2655 Northwinds Parkway
Alpharetta, Georgia  30009
 
(c) Citizenship:
 
Jackson Investment Group, LLC, is a Georgia limited liability company
Richard L. Jackson is a United States citizen
 
(d) Title of Class of Securities:
 
Common Stock, par value $0.0001 per share
 
(e) CUSIP Number:
 
602496101
 
ITEM 3.  IF THIS STATEMENT IS FILED PURSUANT TO SS.240.13d-1(b) OR 240.13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A:
 
 
(a)
o
Broker or dealer registered under Section 15 of the Act  (15 U.S.C. 78o).
 
(b)
o
Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c).
 
(c)
o
Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c).
 
(d)
o
Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
 
(e)
o
An investment adviser in accordance with  ss.240.13d-1(b)(1)(ii)(E);
 
(f)
o
An employee benefit plan or endowment fund in accordance with ss.240.13d-1(b)(1)(ii)(F);
 
(g)
o
A parent holding company or control person in accordance with ss.240.13d-1(b)(1)(ii)(G);
 
(h)
o
A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
 
(i)
o
A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
 
(j)
o
Group, in accordance with ss.240.13d-1(b)(1)(ii)(J).
 
ITEM 4. OWNERSHIP.
 
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
 
(a) Amount beneficially owned:  for both persons filing 4,348,773 shares of common stock
 
(b) Percent of class:  5.48%
 
(c) Number of shares as to which such person has:
 
(i)  Sole power to vote or to direct the vote:  none
 
(ii) Shared power to vote or to direct the vote:  4,348,773
 
(iii) Sole power to dispose or to direct the disposition of:  none
 
(iv) Shared power to dispose or to direct the disposition of:  4,348,773
 
 
 

 
 
CUSIP No.
602496101 
 
Page 5 of 6 Pages
 
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.
 
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following o.
 
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
 
Not applicable
 
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.
 
Not applicable
 
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
 
Not applicable
 
ITEM 9. NOTICE OF DISSOLUTION OF GROUP.
 
Not applicable
 
ITEM 10. CERTIFICATIONS.
 
By signing below, each of the undersigned certifies that, to the best of its or his knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect.
 
Exhibits
 
Exhibit 1
 
Joint Filing Agreement dated March 19, 2013, between Jackson Investment Group, LLC, and Richard L. Jackson.
 
 
 

 
 
SIGNATURE
 
After reasonable inquiry and to the best of each of the undersigned’s knowledge and belief, each of the undersigned certifies that the information set forth in this statement is true, complete and correct.
 
  Date:  March 19, 2013  
     
  JACKSON INVESTMENT GROUP, LLC  
       
 
By:
/s/ Richard L. Jackson  
    Richard L. Jackson, Chief Executive Officer  
       
  Date:  March 19, 2013  
     
  /s/ Richard L. Jackson  
  Richard L. Jackson  
EX-1 2 ex1.htm EXHIBIT 1 ex1.htm

EXHIBIT 1
 
JOINT FILING AGREEMENT
 
In accordance with Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended, the undersigned agree to the joint filing on behalf of each of them of a Statement on Schedule 13G (including any and all amendments thereto) with respect to the Common Stock, par value of $0.0001 per share, of MiMedx Group, Inc., and further agree that this Joint Filing Agreement shall be included as an Exhibit to such joint filings.
 
The undersigned further agree that each party hereto is responsible for the timely filing of such Statement on Schedule 13G and any amendments thereto, and for the accuracy and completeness of the information concerning such party contained therein; provided, however, that no party is responsible for the accuracy or completeness of the information concerning any other party, unless such party knows or has reason to believe that such information is inaccurate.
 
This Joint Filing Agreement may be signed in counterparts with the same effect as if the signature on each counterpart were upon the same instrument.
 

 
In witness whereof, each of the undersigned has executed this Agreement as of March 19, 2013.
 
  JACKSON INVESTMENT GROUP, LLC  
       
 
By:
/s/ Richard L. Jackson  
    Richard L. Jackson, Chief Executive Officer  
       
  /s/ Richard L. Jackson  
 
Richard L. Jackson