0001209191-18-003461.txt : 20180112
0001209191-18-003461.hdr.sgml : 20180112
20180112175517
ACCESSION NUMBER: 0001209191-18-003461
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171229
FILED AS OF DATE: 20180112
DATE AS OF CHANGE: 20180112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stockman Robert Bernard
CENTRAL INDEX KEY: 0001404726
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54192
FILM NUMBER: 18526787
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
2017-12-29
0
0001496268
REVA Medical, Inc.
RVA.AX
0001404726
Stockman Robert Bernard
5751 COPLEY DRIVE
SAN DIEGO
CA
92111
1
0
0
0
Common Stock
2017-12-29
4
P
0
10300
5.128
A
298539.4
D
Represents the purchase of 103,000 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.
/s/ Brandi Roberts, Attorney-In-Fact
2018-01-12