0001209191-15-050756.txt : 20150605
0001209191-15-050756.hdr.sgml : 20150605
20150605180424
ACCESSION NUMBER: 0001209191-15-050756
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150604
FILED AS OF DATE: 20150605
DATE AS OF CHANGE: 20150605
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: Breckenridge Ross
CENTRAL INDEX KEY: 0001632114
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54192
FILM NUMBER: 15916964
MAIL ADDRESS:
STREET 1: 5751 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-06-04
0
0001496268
REVA Medical, Inc.
RVA:AX
0001632114
Breckenridge Ross
5751 COPLEY DRIVE
SAN DIEGO
CA
92111
1
0
0
0
Common Stock
2015-06-04
4
P
0
1000
4.09
A
16000
D
Represents the purchase of 10,000 of the Company's Chess Depository Interests (CDIs), trading on the Austrialian Securities Exchange.
The purchase was executed in the form of CDIs, trading on the Austrialian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the conversion ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction.
/s/ Katrina Thompson, Attorney-in-fact
2015-06-05