0001179110-21-009182.txt : 20211005
0001179110-21-009182.hdr.sgml : 20211005
20211005162125
ACCESSION NUMBER: 0001179110-21-009182
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211001
FILED AS OF DATE: 20211005
DATE AS OF CHANGE: 20211005
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Barry John Joseph
CENTRAL INDEX KEY: 0001884761
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40518
FILM NUMBER: 211306900
MAIL ADDRESS:
STREET 1: 10399 WEST 70TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Miromatrix Medical Inc.
CENTRAL INDEX KEY: 0001527096
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 271285782
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10399 WEST 70TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
BUSINESS PHONE: (612)202-7026
MAIL ADDRESS:
STREET 1: 10399 WEST 70TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
4
1
edgar.xml
FORM 4 -
X0306
4
2021-10-01
0
0001527096
Miromatrix Medical Inc.
MIRO
0001884761
Barry John Joseph
10399 WEST 70TH STREET
EDEN PRAIRIE
MN
55344
0
1
0
0
Vice President of R&D
Common Stock
2021-10-01
4
A
0
10000
0
A
10000
D
Employee Stock Option (right to buy)
6.97
2021-10-01
4
A
0
70000
0
A
2031-10-01
Common Stock
70000
70000
D
Restricted stock units that vest annually over four years commencing on September 30, 2021.
Stock option vests annually over four years commencing on the grant date.
/s/ Steven J. Conley, Attorney-in-Fact
2021-10-05