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