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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.