0001288230-14-000012.txt : 20140918 0001288230-14-000012.hdr.sgml : 20140918 20140918165727 ACCESSION NUMBER: 0001288230-14-000012 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140918 DATE AS OF CHANGE: 20140918 EFFECTIVENESS DATE: 20140918 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Miromatrix Medical Inc. CENTRAL INDEX KEY: 0001527096 IRS NUMBER: 271285782 STATE OF INCORPORATION: DE FISCAL YEAR END: 1211 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-204692 FILM NUMBER: 141110449 BUSINESS ADDRESS: STREET 1: 18683 BEARPATH TRAIL CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 BUSINESS PHONE: (612)202-7026 MAIL ADDRESS: STREET 1: 18683 BEARPATH TRAIL CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 D/A 1 primary_doc.xml X0707 D/A LIVE 0001527096 Miromatrix Medical Inc. 18683 BEARPATH TRAIL EDEN PRAIRIE MN MINNESOTA 55347 (612)202-7026 DELAWARE None None Corporation true Robert Cohen 18683 Bearpath Trail Eden Prairie MN MINNESOTA 55347 Executive Officer Director Promoter Jeff Ross 18683 Bearpath Trail Eden Prairie MN MINNESOTA 55347 Executive Officer Walter Sembrowich 18683 Bearpath Trail Eden Prairie MN MINNESOTA 55347 Director Ronald Ebensteiner 18683 Bearpath Trail Eden Prairie MN MINNESOTA 55347 Director Regents of University of Minnesota 1000 Westgate Drive Suite 160 St. Paul MN MINNESOTA 55114 Promoter Timothy J. Pawlenty 18683 Bearpath Trail Eden Prairie MN MINNESOTA 55347 Director Joseph Alexander 90 South 7th Street Suite 3300 Minneapolis MN MINNESOTA 55402 Executive Officer Secretary Timothy Flynn 18683 Bearpath Trail Eden Prairie MN MINNESOTA 55347 Director Institute Texas Heart 6770 Bertner Suite C 550 Houston TX TEXAS 77030 Promoter Biotechnology Decline to Disclose 06b true 0001288230-14-000010 2013-10-08 true true false 50000 20000000 11024547 8975453 Series B Convertible Preferred false 43 0 100750 true 0 false Miromatrix Medical Inc. /s/ Joseph Alexander Joseph Alexander Secretary 2014-09-18