0001209191-19-031485.txt : 20190520
0001209191-19-031485.hdr.sgml : 20190520
20190520174105
ACCESSION NUMBER: 0001209191-19-031485
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190516
FILED AS OF DATE: 20190520
DATE AS OF CHANGE: 20190520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FOGARTY THOMAS G
CENTRAL INDEX KEY: 0001242932
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38677
FILM NUMBER: 19840169
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ra Medical Systems, Inc.
CENTRAL INDEX KEY: 0001716621
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 383661826
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2070 LAS PALMAS DRIVE
CITY: CARLSBAD
STATE: CA
ZIP: 92011
BUSINESS PHONE: (760) 804-1648
MAIL ADDRESS:
STREET 1: 2070 LAS PALMAS DRIVE
CITY: CARLSBAD
STATE: CA
ZIP: 92011
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-05-16
0
0001716621
Ra Medical Systems, Inc.
RMED
0001242932
FOGARTY THOMAS G
C/O RA MEDICAL SYSTEMS, INC.
2070 LAS PALMAS DRIVE
CARLSBAD
CA
92011
0
1
0
0
See Remarks
Common Stock
2019-05-16
4
A
0
32894
0.00
A
32894
D
Reported shares are represented by restricted stock units ("RSUs"), and each RSU is the economic equivalent of one share of Ra Medical Systems, Inc. common stock. 1/3 of the total number of shares underlying the RSUs granted will vest on May 20, 2020, and 1/6th of the total number of shares underlying the RSUs will vest on each November 20 and May 20 thereafter, such that the Award will be fully vested on May 20, 2022; provided, however, that if a vesting date would otherwise fall on a day when the national stock exchange upon which the shares are listed is not open for trading, vesting will occur on the first trading day thereafter. Vesting in all instances is subject to the Reporting Person's continuous status as a Service Provider (as defined in the 2018 Equity Incentive Plan) through each vesting date.
Chief Commercialization Officer
/s/ Daniel Horwood, as Attorney-in-Fact
2019-05-20