0001209191-20-026094.txt : 20200429 0001209191-20-026094.hdr.sgml : 20200429 20200429090410 ACCESSION NUMBER: 0001209191-20-026094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200427 FILED AS OF DATE: 20200429 DATE AS OF CHANGE: 20200429 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stafslien Joan CENTRAL INDEX KEY: 0001467816 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38677 FILM NUMBER: 20827692 MAIL ADDRESS: STREET 1: CAREFUSION CORPORATION STREET 2: 3750 TORREY VIEW COURT CITY: SAN DIEGO STATE: CA ZIP: 92130 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 2020-04-27 0 0001716621 Ra Medical Systems, Inc. RMED 0001467816 Stafslien Joan C/O RA MEDICAL SYSTEMS, INC. 2070 LAS PALMAS DRIVE CARLSBAD CA 92011 1 0 0 0 Common Stock 2020-04-27 4 A 0 25000 0.00 A 25000 D Reported shares are represented by restricted stock units ("RSUs"), and each RSU is the economic equivalent of one share of Ra Medical Systems, Inc. common stock. Beginning on April 24, 2021, 1/3 of the RSUs shall vest annually, so that the RSUs will be fully vested on April 24, 2023, subject to the reporting person's continued service through each such vesting date. /s/ Daniel Horwood, as Attorney-in-Fact 2020-04-29