0001209191-17-022400.txt : 20170322
0001209191-17-022400.hdr.sgml : 20170322
20170322175011
ACCESSION NUMBER: 0001209191-17-022400
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170320
FILED AS OF DATE: 20170322
DATE AS OF CHANGE: 20170322
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: KIMES RICHARD M.
CENTRAL INDEX KEY: 0001664444
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54192
FILM NUMBER: 17707683
MAIL ADDRESS:
STREET 1: 5751 COPLEY DRIVE
CITY: SAN DIEGO
STATE: CA
ZIP: 92111
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-03-20
0
0001496268
REVA Medical, Inc.
RVA:AX
0001664444
KIMES RICHARD M.
5751 COPLEY DRIVE
SAN DIEGO
CA
92111
0
1
0
0
Senior VP, Operations
Common Stock
2017-03-20
4
A
0
20500
0.00
A
21000
D
Stock Option (right to buy)
7.72
2017-03-20
4
A
0
41000
0.00
A
2027-03-20
Common Stock
41000
41000
D
Restricted stock units convert into common stock on a one-for-one basis. These restricted stock units shall vest annually on the anniversary date of the grant (March 20), with the first vesting occurring on March 20, 2018, at the rate of 33.3% annually, until fully vested.
25% of the shares vest on March 20, 2018, with the remaining shares vesting at 2.08333% per month thereafter until fully vested.
/s/ Richard M. Kimes
2017-03-22