0001140361-14-002772.txt : 20140121 0001140361-14-002772.hdr.sgml : 20140120 20140121172749 ACCESSION NUMBER: 0001140361-14-002772 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20140117 FILED AS OF DATE: 20140121 DATE AS OF CHANGE: 20140121 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 1775 W OAK COMMONS COURT, NE CITY: MARIETTA STATE: GA ZIP: 30062 BUSINESS PHONE: 678-384-6720 MAIL ADDRESS: STREET 1: 1775 W OAK COMMONS COURT, NE CITY: MARIETTA STATE: GA ZIP: 30062 FORMER COMPANY: FORMER CONFORMED NAME: Alynx, Co. DATE OF NAME CHANGE: 20060922 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PETIT PARKER H CENTRAL INDEX KEY: 0000901434 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35887 FILM NUMBER: 14538710 MAIL ADDRESS: STREET 1: 1850 PARKWAY PL CITY: MARIETTA STATE: GA ZIP: 30067 4 1 doc1.xml FORM 4 X0306 4 2014-01-17 0 0001376339 MIMEDX GROUP, INC. MDXG 0000901434 PETIT PARKER H C/O MIMEDX GROUP, INC. 1775 WEST OAK COMMONS CT., N.E. MARIETTA GA 30062 1 1 1 0 Chairman & CEO Common Stock 2014-01-17 4 S 0 50000 8.28 D 925000 I by Cox Road Partners, L.L.L.P. Common Stock 2014-01-20 4 M 0 325000 0.73 A 1250000 I by Cox Road Partners, L.L.L.P. Common Stock 2014-01-17 4 S 0 50000 8.28 D 925000 I by Cox Road Partners II, L.L.L.P. Common Stock 2014-01-20 4 M 0 325000 0.73 A 1250000 I by Cox Road Partners II, L.L.L.P. Common Stock 2014-01-17 4 S 0 50000 8.28 D 925000 I by Petit Investments II, L.L.L.P. Common Stock 2014-01-20 4 M 0 325000 0.73 A 1250000 I by Petit Investments II, L.L.L.P. Warrant 0.73 2014-01-20 4 M 0 325000 0 D 2009-02-19 2014-02-19 Common Stock 325000 0 I by Cox Road Partners, L.L.L.P. Warrant 0.73 2014-01-20 4 M 0 325000 0 D 2009-02-19 2014-02-19 Common Stock 325000 0 I by Cox Road Partners II, L.L.L.P. Warrant 0.73 2014-01-20 4 M 0 325000 0 D 2009-02-19 2014-02-19 Common Stock 325000 0 I by Petit Investments II, L.L.L.P. In addition, Mr. Petit owns directly 5,671,847 shares of Common Stock and 106,000 unvested shares of restricted stock which vest in equal installments over three years. Mr. Petit does not have the right to vote the unvested shares of restricted stock. Mr. Petit also beneficially owns 150,000 shares held by The Parker H. Petit Grantor Trust, of which he serves as Trustee and 150,000 shares held by Petit Investments, L.P., of which he serves as General partner and limited partner. Owned by Cox Road Partners, L.L.L.P., over which Mr. Petit possesses sole voting and investment control. Owned by Cox Road Partners II, L.L.L.P. over which Mr. Petit possesses sole voting & investment control. Owned by Petit Investments II, L.L.L.P. over which Mr. Petit possesses sole voting and investment control. /s/ Michael J. Senken, by Power of Attorney 2014-01-20 EX-24 2 poa1.htm POWER OF ATTORNEY Unassociated Document
 
Securities and Exchange Commission
Judiciary Plaza
450 Fifth Street, N.W.
Washington, DC  20549
Power of Attorney

 
Re:
MiMedx Group, Inc.

Ladies and Gentlemen:
 
Know all by these presents, that the undersigned hereby constitutes and appoints each of Michael J. Senken, Roberta L. McCaw, G. Donald Johnson, and T. Clark Fitzgerald III, or either of them signing singly, and with full power of substitution, the undersigned's true and lawful attorney-in-fact to:
 
(1)           prepare, execute in the undersigned’s name and on the undersigned’s behalf, and submit to the U.S. Securities and Exchange Commission (the “SEC”) a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation of the SEC;
 
(2)           execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of MiMedx Group, Inc., (the “Company”), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;
 
(3)           do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5, complete and execute any amendment or amendments thereto, and timely file such form with the SEC and any stock exchange or similar authority; and
 
(4)           take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.
 
The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.
 
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
 
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 20 day of January, 2010.
 
 
 
By:
/s/: Parker H. Petit
     
 
Name:
Parker H. Petit