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