Sec Form 4 Filing - Ross Jeffrey James @ Miromatrix Medical Inc. - 2023-12-12

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Ross Jeffrey James
2. Issuer Name and Ticker or Trading Symbol
Miromatrix Medical Inc. [ MIRO]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CHIEF EXECUTIVE OFFICER
(Last) (First) (Middle)
6455 FLYING CLOUD DRIVE, SUITE 107
3. Date of Earliest Transaction (MM/DD/YY)
12/12/2023
(Street)
EDEN PRAIRIE, MN55344
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/12/2023 U 308,775 ( 1 ) D 87,500 D
Common Stock ( 3 ) 12/13/2023 D 87,500 D 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) $ 3.75 12/13/2023 D 41,250 ( 5 ) 03/01/2024 Common Stock 41,250 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 3.75 12/13/2023 D 43,750 ( 5 ) 01/16/2025 Common Stock 43,750 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 3.75 12/13/2023 D 33,688 ( 5 ) 01/01/2026 Common Stock 33,688 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 3.75 12/13/2023 D 39,375 ( 5 ) 02/02/2027 Common Stock 39,375 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 3.75 12/13/2023 D 100,000 ( 5 ) 03/03/2027 Common Stock 100,000 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 3.75 12/13/2023 D 68,714 ( 5 ) 05/30/2028 Common Stock 68,714 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 4.73 12/13/2023 D 1,500 ( 5 ) 01/03/2032 Common Stock 1,500 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 4.2 12/13/2023 D 100,000 ( 5 ) 01/13/2032 Common Stock 100,000 ( 5 ) 0 D
Employee Stock Option (right to buy) $ 3.26 12/13/2023 D 100,000 ( 5 ) 01/13/2033 Common Stock 100,000 ( 5 ) 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Ross Jeffrey James
6455 FLYING CLOUD DRIVE
SUITE 107
EDEN PRAIRIE, MN55344
X CHIEF EXECUTIVE OFFICER
Signatures
/s/ Steven C. Kennedy, Attorney-in-Fact 12/13/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Shares tendered and accepted pursuant to the terms of anoffer conducted pursuant to the Agreement and Plan of Merger (the "Merger Agreement"), by and among the Issuer, United Therapeutics Corporation ("Parent") and Morpheus Subsidiary Inc., dated as of October 29, 2023, for consideration consisting of (i) $3.25 per share, payable in cash, without interest and less any required withholding taxes (the "Cash Consideration"), plus (ii) one contractual, non-tradeable contingent value right per share (each, a "CVR").
( 2 )Each CVR entitles the reporting person to potentially receive contingent payments of up to an aggregate of $1.75 per CVR, without interest and less any required withholding taxes, upon the achievement of a specified milestone in accordance with the terms and subject to the conditions of a contingent value rights agreement (the "CVR Agreement"), dated as of December 12, 2023, by and between Parent and Continental Stock Transfer & Trust Company.
( 3 )Previously unvested restricted stock units ("RSUs"), each of which represented a contingent right to receive one share of the Issuer's common stock.
( 4 )In c onnection with the closing under the Merger Agreement, each outstanding RSU award was cancelled and exchanged for the right to receive (i) a cash payment equal to (x) the total numbers of shares subject to the RSU award multiplied by (y) the Cash Consideration and (ii) one CVR with respect to each share subject to such RSU award.
( 5 )In connection with the closing under the Merger Agreement, each employee stock option (right to buy) was canceled in exchange for (i) an amount in cash, without interest and less any required withholding tax, equal to the product of (A) the excess of the amount of the Cash Consideration over the exercise price per share of such stock option and (B) the number of shares that were subject to such stock option, without regard to vesting, and (ii) a number of CVRs equal to the same number of shares that were subject to such stock option, provided, that the payment, if any, under each CVR shall be reduced by the amount by which the exercise price per share exceeds the amount of the Cash Consideration.

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