0001209191-20-045181.txt : 20200805 0001209191-20-045181.hdr.sgml : 20200805 20200805170810 ACCESSION NUMBER: 0001209191-20-045181 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200803 FILED AS OF DATE: 20200805 DATE AS OF CHANGE: 20200805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Horwood Daniel CENTRAL INDEX KEY: 0001756566 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38677 FILM NUMBER: 201078510 MAIL ADDRESS: STREET 1: C/O RA MEDICAL SYTEMS, INC. STREET 2: 2070 LAS PALMAS DRIVE CITY: CARLSBAD STATE: CA ZIP: 92011 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Ra Medical Systems, Inc. CENTRAL INDEX KEY: 0001716621 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 383661826 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2070 LAS PALMAS DRIVE CITY: CARLSBAD STATE: CA ZIP: 92011 BUSINESS PHONE: (760) 804-1648 MAIL ADDRESS: STREET 1: 2070 LAS PALMAS DRIVE CITY: CARLSBAD STATE: CA ZIP: 92011 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-08-03 0 0001716621 Ra Medical Systems, Inc. RMED 0001756566 Horwood Daniel C/O RA MEDICAL SYSTEMS, INC. 2070 LAS PALMAS DR. CARLSBAD CA 92011 0 1 0 0 General Counsel Common Stock 2020-08-03 4 P 0 10000 0.35 A 52641 D Warrants (right to buy) 0.35 2020-08-03 4 P 0 10000 0.00 A 2020-08-03 2025-08-04 Common Stock 10000 10000 D /s/ Daniel Horwood 2020-08-05