0001209191-16-124143.txt : 20160527 0001209191-16-124143.hdr.sgml : 20160527 20160527181229 ACCESSION NUMBER: 0001209191-16-124143 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160525 FILED AS OF DATE: 20160527 DATE AS OF CHANGE: 20160527 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: 161683505 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-05-25 0 0001496268 REVA Medical, Inc. RVA:AX 0001632114 Breckenridge Ross 5751 COPLEY DRIVE SAN DIEGO CA 92111 1 0 0 0 Common Stock 2016-05-25 4 A 0 6300 0.00 A 22300 D Stock Option (Right to Buy) 8.30 2016-05-25 4 A 0 11800 0.00 A 2026-05-25 Common Stock 11800 11800 D These restricted stock units will vest in full on the earlier of (i) May 25, 2017 or (ii) immediately prior to commencement of the Issuer's next annual stockholder meeting. Twenty-five (25%) of the option shares vest on August 25, 2016, with the remaining option shares vesting in three (3) equal quarterly installments thereafter. /s/ Katrina Thompson, Attorney-in-fact 2016-05-27