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