0001415889-23-005634.txt : 20230330 0001415889-23-005634.hdr.sgml : 20230330 20230330165919 ACCESSION NUMBER: 0001415889-23-005634 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230310 FILED AS OF DATE: 20230330 DATE AS OF CHANGE: 20230330 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUCKMAN PAUL CENTRAL INDEX KEY: 0001215243 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40518 FILM NUMBER: 23781495 MAIL ADDRESS: STREET 1: 12988 VALLEY VIEW RD CITY: EDEN PRAIRIE STATE: MN ZIP: 55402 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: 6455 FLYING CLOUD DRIVE STREET 2: SUITE 107 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 BUSINESS PHONE: (612)202-7026 MAIL ADDRESS: STREET 1: 6455 FLYING CLOUD DRIVE STREET 2: SUITE 107 CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 4 1 form4-03302023_080313.xml X0407 4 2023-03-10 0001527096 Miromatrix Medical Inc. MIRO 0001215243 BUCKMAN PAUL 1039 WEST 70TH STREET EDEN PRAIRIE MN 55344 true false false false 0 Common Stock 2023-03-10 4 P 0 31250 1.60 A 52593 I By Paul R. Buckman Revocable Trust /s/ Steven J. Conley, Attorney-in-Fact 2023-03-30