0001716621-17-000001.txt : 20170920 0001716621-17-000001.hdr.sgml : 20170920 20170920153930 ACCESSION NUMBER: 0001716621-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170920 DATE AS OF CHANGE: 20170920 EFFECTIVENESS DATE: 20170920 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ra Medical Systems, Inc. CENTRAL INDEX KEY: 0001716621 IRS NUMBER: 363661826 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-295087 FILM NUMBER: 171093991 BUSINESS ADDRESS: STREET 1: 1930 KELLOGG AVENUE CITY: CARLSBAD STATE: CA ZIP: 92008 BUSINESS PHONE: (760) 804-1648 MAIL ADDRESS: STREET 1: 1930 KELLOGG AVENUE CITY: CARLSBAD STATE: CA ZIP: 92008 D 1 primary_doc.xml X0708 D LIVE 0001716621 Ra Medical Systems, Inc. 1930 KELLOGG AVENUE CARLSBAD CA CALIFORNIA 92008 (760) 804-1648 CALIFORNIA None None Corporation true Dean Irwin 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer Director Melissa Burstein 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer Director Martin Burstein 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Director Richard Heymann 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Director Maurice Buchbinder 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Director Martin Colombatto 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Director Jeffrey Kraws 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer Kevin Gertsman 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer James B. Laudenslager 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer J. Kevin McVoy 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer Vicki Chester 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer William L. Schmidt 1930 Kellogg Avenue Carlsbad CA CALIFORNIA 92008 Executive Officer Biotechnology Decline to Disclose 06b false 2017-09-05 false true false 0 15000000 650000 14350000 false 3 0 true 0 true 0 true false Ra Medical Systems, Inc. /s/ J. Kevin McVoy J. Kevin McVoy Chief Financial Officer 2017-09-20