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