Baxter International Inc - Jun 23, 2021 Form 3 Insider Report for Miromatrix Medical Inc. (MIRO)

Role
10%+ Owner
Signature
/s/ Ellen K. Bradford, Senior Vice President & Corporate Secretary
Stock symbol
MIRO
Transactions as of
Jun 23, 2021
Transactions value $
$0
Form type
3
Date filed
6/23/2021, 09:55 PM
Next filing
Jun 25, 2021

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
holding MIRO Series C Convertible Preferred Stock Jun 23, 2021 Common Stock 2.34M By Baxter Healthcare Corporation F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Series C Convertible Preferred Stock is convertible into the number of shares of the Issuer's common stock shown in column 3 and have no expiration date. The Series C Convertible Preferred Stock will automatically convert into common stock upon the closing of the Issuer's initial public offering.
F2 The reported securities are owned directly by Baxter Healthcare Corporation, a wholly owned subsidiary of Baxter International Inc.