0001209191-20-060051.txt : 20201123
0001209191-20-060051.hdr.sgml : 20201123
20201123180133
ACCESSION NUMBER: 0001209191-20-060051
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201119
FILED AS OF DATE: 20201123
DATE AS OF CHANGE: 20201123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mejia Richard Jr
CENTRAL INDEX KEY: 0001445578
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38677
FILM NUMBER: 201339322
MAIL ADDRESS:
STREET 1: 2200 FARADAY AVENUE
STREET 2: SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
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
2020-11-19
0
0001716621
Ra Medical Systems, Inc.
RMED
0001445578
Mejia Richard Jr
C/O RA MEDICAL SYSTEMS, INC.
2070 LAS PALMAS DRIVE
CARLSBAD
CA
92011
1
0
0
0
Common Stock
2020-11-19
4
P
0
1000
5.82
A
8523
D
On November 16, 2020, the common stock of the company reverse-split 25-for-1, resulting in the reporting persons indirect ownership being reduced by 180,562.
/s/ Daniel Horwood, as Attorney-in-Fact
2020-11-20