0001209191-18-031617.txt : 20180518
0001209191-18-031617.hdr.sgml : 20180518
20180518211519
ACCESSION NUMBER: 0001209191-18-031617
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180516
FILED AS OF DATE: 20180518
DATE AS OF CHANGE: 20180518
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: 18848242
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
2018-05-16
0
0001496268
REVA Medical, Inc.
RVA.AX
0001404726
Stockman Robert Bernard
5751 COPLEY DRIVE
SAN DIEGO
CA
92111
1
0
0
0
Stock Option (right to buy)
1.96
2018-05-16
4
A
0
25000
0.00
A
2028-05-16
Common Stock
25000
25000
D
The option vests and becomes exercisable on May 16, 2019.
/s/ Brandi Roberts, Attorney-in-Fact
2018-05-18