0001209191-16-129139.txt : 20160621 0001209191-16-129139.hdr.sgml : 20160621 20160621194158 ACCESSION NUMBER: 0001209191-16-129139 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160617 FILED AS OF DATE: 20160621 DATE AS OF CHANGE: 20160621 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: Brandom Donald K. CENTRAL INDEX KEY: 0001502921 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 161725421 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-17 0 0001496268 REVA Medical, Inc. RVA:AX 0001502921 Brandom Donald K. 5751 COPLEY DRIVE SAN DIEGO CA 92111 0 1 0 0 SVP, Product Development Common Stock 2016-06-17 4 S 0 2500 7.744 D 77550 D Common Stock 2016-06-17 4 S 0 2500 7.781 D 75050 D Represents the sale of 25,000 of the Company's Chess Depository Interests (CDIs), trading on the Australian Securities Exchange. The sale was executed in the form of CDIs, trading on the Australian Securities Exchange, and as such the sale 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/ Donald Brandom 2016-06-21