RONALD E. EIBENSTEINER - 28 Jun 2021 Form 4 Insider Report for Miromatrix Medical Inc.

Role: Director
Signature: /s/ Elise B. Houser, Attorney-in-Fact
Issuer symbol: N/A
Transactions as of: 28 Jun 2021
Net transactions value: $0
Form type: 4
Filing time: 29 Jun 2021, 18:02:12 UTC
Previous filing: 23 Jun 2021
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	MIRO	Common Stock	Conversion of derivative security		+59,769			59,769	28 Jun 2021	Direct	F1
transaction	MIRO	Common Stock	Conversion of derivative security		+120,000	+201%		179,769	28 Jun 2021	Direct	F3
transaction	MIRO	Common Stock	Conversion of derivative security		+20,000			20,000	28 Jun 2021	By Laurie Eibensteiner New Direction IRA Inc.	F2

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 A Preferred Stock	Conversion of derivative security		-59,769	-100%		0	28 Jun 2021	Common Stock	59,769		Direct	F1
transaction	MIRO	Series B Preferred Stock	Conversion of derivative security		-20,000	-100%		0	28 Jun 2021	Common Stock	20,000		By Laurie Eibensteiner New Direction IRA Inc.	F2
transaction	MIRO	Series B-2 Preferred Stock	Conversion of derivative security		-120,000	-100%		0	28 Jun 2021	Common Stock	120,000		Direct	F3

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

Explanation of Responses:

Id	Content
F1	Each share of Series A 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 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.
F3	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.