0001209191-17-050829.txt : 20170830 0001209191-17-050829.hdr.sgml : 20170830 20170830201520 ACCESSION NUMBER: 0001209191-17-050829 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170828 FILED AS OF DATE: 20170830 DATE AS OF CHANGE: 20170830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roberts Brandi CENTRAL INDEX KEY: 0001516354 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 171061845 MAIL ADDRESS: STREET 1: 12390 EL CAMINO REAL #150 CITY: SAN DIEGO STATE: CA ZIP: 92130 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2017-08-28 1 0001496268 REVA Medical, Inc. RVA:AX 0001516354 Roberts Brandi 5751 COPLEY DRIVE SAN DIEGO CA 92111 0 1 0 0 SVP & Chief Financial Officer No securities are beneficially owned. /s/ Brandi Roberts 2017-08-29