MiMedx Group, Inc.
|
(Name of Issuer)
|
Common Stock, $0.0001 par value per share
|
(Title of Class of Securities)
|
602496101
|
(CUSIP Number)
|
January 14, 2013
|
(Date of Event Which Requires Filing of this Statement)
|
o
|
Rule 13d-1(b)
|
x
|
Rule 13d-1(c)
|
o
|
Rule 13d-1(d)
|
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
|
|||
4,528,479
|
||||
7
|
SOLE DISPOSITIVE POWER
|
|||
8
|
SHARED DISPOSITIVE POWER
|
|||
4,528,479
|
||||
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
|
|||
4,528,479
|
||||
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)
|
|||
5.00%
|
||||
12
|
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
|
|||
OO (limited liability company)
|
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
|
|||
4,528,479
|
||||
7
|
SOLE DISPOSITIVE POWER
|
|||
8
|
SHARED DISPOSITIVE POWER
|
|||
4,528,479
|
||||
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
|
|||
4,528,479
|
||||
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)
|
|||
5.00%
|
||||
12
|
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
|
|||
IN
|
CUSIP No.
602496101
|
Page 4 of 6 Pages
|
|
(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).
|
CUSIP No.
602496101
|
Page 5 of 6 Pages
|
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 |