Brian Niebur - Jun 28, 2021 Form 4 Insider Report for Miromatrix Medical Inc. (MIRO)

Role: Chief Financial Officer
Signature: /s/ Elise B. Houser, Attorney-in-Fact
Stock symbol: MIRO
Transactions as of: Jun 28, 2021
Transactions value $: $0
Form type: 4
Date filed: 6/29/2021, 05:59 PM
Previous filing: Jun 23, 2021
Next filing: Oct 5, 2021

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	MIRO	Common Stock	Conversion of derivative security		+3.33K			3.33K	Jun 28, 2021	Direct	F2
transaction	MIRO	Common Stock	Conversion of derivative security		+3.33K	+100%		6.67K	Jun 28, 2021	Direct	F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	MIRO	Series B Preferred Stock	Conversion of derivative security		-3.33K	-100%		0	Jun 28, 2021	Common Stock	3.33K		Direct	F1
transaction	MIRO	Series B-2 Preferred Stock	Conversion of derivative security		-3.33K	-100%		0	Jun 28, 2021	Common Stock	3.33K		Direct	F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Each share of Series B Preferred Stock had no expiration date and automatically converted into one share of Common Stock upon the closing of the Issuer's initial public offering.
F2	Each share of Series B-2 Preferred Stock had no expiration date and automatically converted into one share of Common Stock upon the closing of the Issuer's initial public offering.