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DAVITA INC. Director's Dealing 2021

Jun 30, 2021

30643_dirs_2021-06-29_33f1486c-c016-4fa4-bb6b-d4c56f80b610.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Miromatrix Medical Inc. (MIRO)
CIK: 0001527096
Period of Report: 2021-06-28

Reporting Person: Cheshire MD Holdings, LLC (10% Owner)
Reporting Person: DAVITA INC. (10% Owner)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2021-06-28 Common Stock C 933334 Acquired 933334 Direct
2021-06-28 Common Stock C 1046757 Acquired 1980091 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2021-06-28 Series B-2 Preferred Stock $ C 933334 Disposed Common Stock (933334.0) Direct
2021-06-28 Series C Preferred Stock $ C 1004887 Disposed Common Stock (1046757.0) Direct

Footnotes

F1: Each share of Series B-2 Preferred Stock had no expiration date and automatically converted into one share of Common Stock upon the closing of the Issuer's Initial Public Offering ("IPO").

F2: As a result of DaVita Inc.'s ownership interest in Cheshire MD Holdings, LLC, DaVita Inc. may be deemed to have an indirect pecuniary interest in the shares held directly by Cheshire MD Holdings, LLC.

F3: Each share of Series C Preferred Stock had no expiration date and automatically converted into shares of Common Stock upon the closing of the Issuer's IPO at a rate determined by dividing $7.50 by $7.20.