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  5. Miromatrix Medical Inc.

Miromatrix Medical Inc.

Company Details

Name: Miromatrix Medical Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Foreign)
Status: Active / In Good Standing
Date formed: 13 Jan 2010 (15 years ago)
Company Number: f5d05129-95d4-e011-a886-001ec94ffe7f
File Number: 3663839-2
Registered Office Address: 1010 Dale St N, Saint Paul, MN 55117–5603, USA
ZIP code: 55117
County: Ramsey County
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIROMATRIX MEDICAL INC. 401K PLAN 2023 271285782 2024-06-12 MIROMATRIX MEDICAL INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 6455 FLYING CLOUD DRIVE, SUITE 107, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2022 271285782 2023-06-08 MIROMATRIX MEDICAL INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 6455 FLYING CLOUD DRIVE, SUITE 107, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2021 271285782 2022-06-10 MIROMATRIX MEDICAL INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 6455 FLYING CLOUD DRIVE, SUITE 107, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2020 271285782 2021-07-07 MIROMATRIX MEDICAL INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 10399 WEST 70TH STREET, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2019 271285782 2020-07-01 MIROMATRIX MEDICAL INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 10399 WEST 70TH STREET, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2018 271285782 2019-06-07 MIROMATRIX MEDICAL INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 10399 WEST 70TH STREET, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2019-06-07
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2017 271285782 2018-06-12 MIROMATRIX MEDICAL INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 10399 WEST 70TH STREET, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2018-06-12
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2016 271285782 2017-06-01 MIROMATRIX MEDICAL INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 10399 WEST 70TH STREET, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2015 271285782 2016-06-17 MIROMATRIX MEDICAL INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 9529426000
Plan sponsor’s address 10399 WEST 70TH STREET, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature
MIROMATRIX MEDICAL INC. 401K PLAN 2014 271285782 2015-06-08 MIROMATRIX MEDICAL INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 339110
Sponsor’s telephone number 6122027026
Plan sponsor’s address 10399 WEST 70TH STREET, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing BRIAN NIEBUR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T Corporation System Inc Agent

Chief Executive Officer

Name Role Address
Jeff Ross Chief Executive Officer 6455 FLYING CLOUD DR STE 107, EDEN PRAIRIE, MN 55344–4532, United States

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Foreign) 2016-10-13
Original Filing - Business Corporation (Foreign) (Business Name: Miromatrix Medical Inc.) 2010-01-13

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C T Corporation System Inc

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Jeff Ross

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Date of last update: 04 Dec 2024

Sources: Minnesota's Official State Website

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