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