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