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