0001209191-16-094028.txt : 20160128 0001209191-16-094028.hdr.sgml : 20160128 20160128194626 ACCESSION NUMBER: 0001209191-16-094028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160127 FILED AS OF DATE: 20160128 DATE AS OF CHANGE: 20160128 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: KIMES RICHARD M. CENTRAL INDEX KEY: 0001664444 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 161370639 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-01-27 0 0001496268 REVA Medical, Inc. RVA:AX 0001664444 KIMES RICHARD M. 5751 COPLEY DRIVE SAN DIEGO CA 92111 0 1 0 0 Senior VP, Operations Stock Option (Right to Buy) 7.90 2016-01-27 4 A 0 100000 0.00 A 2026-01-27 Common Stock 100000 100000 D 25% of the option shares vest on January 18, 2017 with the remaining option shares vesting in 36 equal monthly installments thereafter. /s/ Richard M. Kimes 2016-01-28