0001209191-18-005010.txt : 20180123 0001209191-18-005010.hdr.sgml : 20180123 20180123211515 ACCESSION NUMBER: 0001209191-18-005010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180122 FILED AS OF DATE: 20180123 DATE AS OF CHANGE: 20180123 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: 18543833 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 2018-01-22 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 (RSUs) 2018-01-22 4 A 0 32000 0.00 A 53880 D Employee Stock Option (right to buy) 3.875 2018-01-22 4 A 0 63000 0.00 A 2028-01-22 Common Stock 63000 63000 D Restricted stock units (RSUs) convert into shares of Common Stock on a one-for-one basis. The RSUs vest in three (3) equal annual installments beginning on January 22, 2019. The option vests and becomes exercisable as follows: 25% of the shares vest on January 22, 2019 with the remaining shares vesting at 2.08333% per month thereafter until fully vested. /s/ Brandi Roberts, Attorney-in-fact 2018-01-23