0001179110-22-000265.txt : 20220105
0001179110-22-000265.hdr.sgml : 20220105
20220105174442
ACCESSION NUMBER: 0001179110-22-000265
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20220103
FILED AS OF DATE: 20220105
DATE AS OF CHANGE: 20220105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Heine Lisa Wipperman
CENTRAL INDEX KEY: 0001703985
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40518
FILM NUMBER: 22512597
MAIL ADDRESS:
STREET 1: 1244 76TH STREET WEST
CITY: INVER GROVE HEIGHTS
STATE: MN
ZIP: 55077
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: 10399 WEST 70TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
BUSINESS PHONE: (612)202-7026
MAIL ADDRESS:
STREET 1: 10399 WEST 70TH STREET
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55344
3
1
edgar.xml
FORM 3 -
X0206
3
2022-01-03
1
0001527096
Miromatrix Medical Inc.
MIRO
0001703985
Heine Lisa Wipperman
6455 FLYING CLOUD DRIVE
SUITE 107
EDEN PRAIRIE
MN
55344
1
0
0
0
Exhibit List: Exhibit 24-Power of Attorney
/s/ Steven J. Conley, Attorney-in-Fact
2022-01-05
EX-24
2
heinepoa.txt
EX-24
POWER OF ATTORNEY
I, Lisa Wipperman Heine, hereby authorize and designate each of
Brian Niebur, Jeffrey Ross, Joshua L. Colburn, Steven C. Kennedy,
Steven J. Conley, Elise B. Houser and Amra Hoso, signing singly,
as my true and lawful attorney-in-fact to:
(1) prepare and execute for and on my behalf, in my
capacity as an officer and/or director of Miromatrix Medical Inc. (the
"Company"), a Form ID and Forms 3, 4 and 5 in accordance with
Section 16(a) of the Securities Exchange Act of 1934 (the "Exchange
Act") and the rules and regulations promulgated thereunder and other
forms or reports on my behalf as may be required to be filed in
connection with my ownership, acquisition, or disposition of securities
of the Company, including Form 144;
(2) do and perform any and all acts for and on my behalf
that may be necessary or desirable to complete and execute any such
Form ID, Form 3, 4 or 5 or Form 144, and any amendments to any of the
foregoing, and timely file any such form with the Securities and
Exchange Commission and any stock exchange or similar authority; and
(3) take any other action of any type whatsoever in
connection with the foregoing which, in the opinion of such
attorney-in-fact, may be to my benefit, in my best interest, or legally
required of me, it being understood that the statements executed by
such attorney-in-fact on my behalf pursuant to this Power of Attorney
shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's
discretion.
I hereby further grant to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of
the rights and powers herein granted, as fully to all intents and
purposes as I might or could do if personally present, with full power
of substitution or revocation, hereby ratifying and confirming all that
such attorney-in-fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of this
Power of Attorney and the rights and powers herein granted. I hereby
acknowledge that the foregoing attorneys-in-fact, in serving in such
capacity at my request, are not assuming, nor is the Company assuming,
any of my responsibilities to comply with Section 16 of the Exchange
Act or Rule 144 under the Securities Act of 1933, as amended (the
"Securities Act").
This Power of Attorney shall remain in full force and effect until
I am no longer required to file Form ID or Forms 3, 4 and 5 or Form 144
with respect to my holdings of and transactions in securities issued by
the Company, unless earlier revoked by me in a signed writing delivered
to the foregoing attorneys-in-fact. Notwithstanding the foregoing, if
any such attorney-in-fact hereafter ceases to be at least one of the
following: (i) an employee of the Company, (ii) a partner of Faegre
Drinker Biddle & Reath LLP or (iii) an employee of Faegre Baker Drinker
Biddle & Reath LLP, then this Power of Attorney shall be automatically
revoked solely as to such individual, immediately upon such cessation,
without any further action on my part.
I hereby revoke all previous Powers of Attorney that have been
granted by me in connection with my reporting obligations, if any,
under Section 16 of the Exchange Act and Rule 144 under the Securities
Act with respect to my holdings of and transactions in securities
issued by the Company.
IN WITNESS WHEREOF, I have caused this Power of Attorney to be
duly executed as of this 3rd day of January, 2022.
/s/ Lisa Wipperman Heine