0001209191-17-049754.txt : 20170821 0001209191-17-049754.hdr.sgml : 20170821 20170821182523 ACCESSION NUMBER: 0001209191-17-049754 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170817 FILED AS OF DATE: 20170821 DATE AS OF CHANGE: 20170821 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GROVES REGINA E CENTRAL INDEX KEY: 0001653877 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 171043900 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-08-17 0 0001496268 REVA Medical, Inc. RVA:AX 0001653877 GROVES REGINA E 5751 COPLEY DRIVE SAN DIEGO CA 92111 1 1 0 0 Chief Executive Officer Common Stock 2017-08-17 4 P 0 303.4 5.57 A 120911.9 D Common Stock 2017-08-21 4 P 0 402.4 5.864 A 121314.3 D Represents the purchase of 3,034 of the Issuer's Chess Depository Interests (CDIs) trading on the Australian Securities Exchange. The purchase was executed in the form of CDIs, trading on the Australian Securities Exchange, and as such the purchase 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 purchase of 4,024 of the Issuer's Chess Depository Interests (CDIs) trading on the Australian Securities Exchange. /s/ Regina E Groves 2017-08-21