0001209191-17-044826.txt : 20170711 0001209191-17-044826.hdr.sgml : 20170711 20170711201212 ACCESSION NUMBER: 0001209191-17-044826 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170709 FILED AS OF DATE: 20170711 DATE AS OF CHANGE: 20170711 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: 17960803 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-07-09 0 0001496268 REVA Medical, Inc. RVA:AX 0001632114 Breckenridge Ross 5751 COPLEY DRIVE SAN DIEGO CA 92111 1 0 0 0 Common Stock 2017-07-09 4 A 0 6000 0.00 A 30073 D Stock Option (Right to Buy) 6.45 2017-07-09 4 A 0 10500 0.00 A 2027-07-09 Common Stock 10500 10500 D These restricted stock units will vest in full on the earlier of (i) July 9, 2018 or (ii) the day prior to the Issuer's 2018 annual stockholder meeting. The option shares shall vest in four equal quarterly installments, with the first installment on October 9, 2017. /s/ Katrina Thompson, Attorney-in-fact 2017-07-11