0001209191-18-034888.txt : 20180601 0001209191-18-034888.hdr.sgml : 20180601 20180601205015 ACCESSION NUMBER: 0001209191-18-034888 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180530 FILED AS OF DATE: 20180601 DATE AS OF CHANGE: 20180601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thomas Robert Bain CENTRAL INDEX KEY: 0001404477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 18876708 MAIL ADDRESS: STREET 1: SUITE 4 LEVEL 46 2 PARK STREET CITY: SIDNEY STATE: C3 ZIP: 2000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: REVA Medical, Inc. CENTRAL INDEX KEY: 0001496268 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 330810505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 BUSINESS PHONE: (858) 966-3000 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-05-30 0 0001496268 REVA Medical, Inc. RVA.AX 0001404477 Thomas Robert Bain 5751 COPLEY DRIVE SAN DIEGO CA 92111 1 0 0 0 Common Stock 2018-05-30 4 P 0 2000 2.06 A 92000 I Rob Thomas Superannuation Fund Common Stock 2018-05-31 4 P 0 3000 2.08 A 95000 I Rob Thomas Superannuation Fund Represents the purchase of 20,000 of the Issuer's CHESS Depositary Interests (CDIs) trading on the Australian Securities Exchange. The purchase was executed in the form of CDIs, trading on the Australian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the conversion ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction. Represents the purchase of 30,000 of the Issuer's CHESS Depositary Interests (CDIs) trading on the Australian Securities Exchange. /s/ Brandi Roberts, Attorney-in-Fact 2018-06-01