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