0001716621-18-000002.txt : 20180613 0001716621-18-000002.hdr.sgml : 20180613 20180612175346 ACCESSION NUMBER: 0001716621-18-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180613 DATE AS OF CHANGE: 20180612 EFFECTIVENESS DATE: 20180613 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ra Medical Systems, Inc. CENTRAL INDEX KEY: 0001716621 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 363661826 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-295087 FILM NUMBER: 18895425 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 D/A 1 primary_doc.xml X0708 D/A LIVE 0001716621 Ra Medical Systems, Inc. 2070 LAS PALMAS DRIVE CARLSBAD CA CALIFORNIA 92011 (760) 804-1648 CALIFORNIA None None Corporation true Dean Irwin c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Director Melissa Burstein c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Director Martin Burstein c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Richard Heymann c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Maurice Buchbinder c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Martin Colombatto c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Jeffrey Kraws c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Andrew Jackson c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Biotechnology Decline to Disclose 06b true 0001716621-17-000001 2017-09-05 false true false 0 19000000 18282000 718000 false 49 0 true 0 true 0 true false Ra Medical Systems, Inc. /s/ Andrew Jackson Andrew Jackson Chief Financial Officer 2018-06-12