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