Ronald E. Eibensteiner - Jun 28, 2021 Form 4 Insider Report for Miromatrix Medical Inc. (MIRO)

Role
Director
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, 06:02 PM
Previous filing
Jun 23, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction MIRO Common Stock Conversion of derivative security +59.8K 59.8K Jun 28, 2021 Direct F1
transaction MIRO Common Stock Conversion of derivative security +120K +200.77% 180K Jun 28, 2021 Direct F3
transaction MIRO Common Stock Conversion of derivative security +20K 20K Jun 28, 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 -59.8K -100% 0 Jun 28, 2021 Common Stock 59.8K Direct F1
transaction MIRO Series B Preferred Stock Conversion of derivative security -20K -100% 0 Jun 28, 2021 Common Stock 20K By Laurie Eibensteiner New Direction IRA Inc. F2
transaction MIRO Series B-2 Preferred Stock Conversion of derivative security -120K -100% 0 Jun 28, 2021 Common Stock 120K 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.