0001179110-22-000268.txt : 20220105
0001179110-22-000268.hdr.sgml : 20220105
20220105174638
ACCESSION NUMBER: 0001179110-22-000268
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220103
FILED AS OF DATE: 20220105
DATE AS OF CHANGE: 20220105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Heine Lisa Wipperman
CENTRAL INDEX KEY: 0001703985
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40518
FILM NUMBER: 22512620
MAIL ADDRESS:
STREET 1: 1244 76TH STREET WEST
CITY: INVER GROVE HEIGHTS
STATE: MN
ZIP: 55077
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
2022-01-03
0
0001527096
Miromatrix Medical Inc.
MIRO
0001703985
Heine Lisa Wipperman
6455 FLYING CLOUD DRIVE
SUITE 107
EDEN PRAIRIE
MN
55344
1
0
0
0
Common Stock
2022-01-03
4
A
0
4405
0
A
4405
D
Common Stock
2022-01-03
4
A
0
31712
0
A
36117
D
Restricted stock units ("RSUs") that vest upon the earlier of (i) the next annual meeting of the company or (ii) one year from the grant date.
RSUs that vest as follows: 10,571 vest on January 3, 2023; the remaining 21,142 vest thereafter over eight quarters with first five quarters vesting 2,643 each quarter and the final three quarters vesting 2,642 each quarter.
/s/ Steven J. Conley, Attorney-in-Fact
2022-01-05