0001209191-19-003646.txt : 20190114 0001209191-19-003646.hdr.sgml : 20190114 20190114210754 ACCESSION NUMBER: 0001209191-19-003646 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190103 FILED AS OF DATE: 20190114 DATE AS OF CHANGE: 20190114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elkolli Leigh CENTRAL INDEX KEY: 0001764231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 19526080 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE STREET 2: SUITE B 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-01-03 0 0001496268 REVA Medical, Inc. RVA.AX 0001764231 Elkolli Leigh C/O REVA MEDICAL, INC. 5751 COPLEY DRIVE, SUITE B SAN DIEGO CA 92111 0 1 0 0 Chief Financial Officer Stock Option (right to buy) 5.88 2027-09-18 Common Stock 17006 D Stock Option (right to buy) 5.88 2027-09-18 Common Stock 32994 D Stock Option (right to buy) 3.875 2028-01-22 Common Stock 20000 D 25% of the shares subject to the option vest on the one year anniversary of September 18, 2017, and 2.08333% of the shares subject to the option vest each month thereafter, on the same day of the month, subject to the reporting person's continued service. 25% of the shares subject to the option vest on the one year anniversary of January 22, 2018, and 2.08333% of the shares subject to the option vest each month thereafter, on the same day of the month, subject to the reporting person's continued service. /s/ Leigh Elkolli 2019-01-14