0001209191-16-129781.txt : 20160627
0001209191-16-129781.hdr.sgml : 20160627
20160627193144
ACCESSION NUMBER: 0001209191-16-129781
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160623
FILED AS OF DATE: 20160627
DATE AS OF CHANGE: 20160627
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: 161734447
MAIL ADDRESS:
STREET 1: 5751 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-06-23
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
2016-06-23
4
S
0
463
7.795
D
74587
D
Common Stock
2016-06-23
4
S
0
463
7.795
D
74124
D
Common Stock
2016-06-24
4
S
0
5.4
7.438
D
74118.6
D
Common Stock
2016-06-24
4
S
0
1000
7.3645
D
73118.6
D
Common Stock
2016-06-24
4
S
0
2074
7.29
D
71044.6
D
Represents the sale of 4,630 of the Company's Chess Depository Interests (CDIs) trading on the Australian Securities Exchange ("ASX").
The sale was executed in the form of CDIs trading on the ASX 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.
Represents the sale of 54 of the Company's CDIs trading on the ASX.
Represents the sale of 10,000 of the Company's CDIs trading on the ASX.
Represents the sale of 20,740 of the Company's CDIs trading on the ASX.
/s/ Donald Brandom
2016-06-27