0001209191-15-025771.txt : 20150312 0001209191-15-025771.hdr.sgml : 20150312 20150312185416 ACCESSION NUMBER: 0001209191-15-025771 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150310 FILED AS OF DATE: 20150312 DATE AS OF CHANGE: 20150312 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brandom Donald K. CENTRAL INDEX KEY: 0001502921 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 15697215 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-03-10 0 0001496268 REVA Medical, Inc. RVA:AX 0001502921 Brandom Donald K. 5751 COPLEY DRIVE SAN DIEGO CA 92111 0 1 0 0 SVP, Product Development Common Stock 2015-03-10 4 M 0 50000 1.25 A 95050 D Stock Option (Right to Buy) 1.25 2015-03-10 4 M 0 50000 0.00 D 2005-07-13 2015-07-13 Common Stock 50000 0 D /s/ Donald Brandom 2015-03-12