0001746687-20-000002.txt : 20200124
0001746687-20-000002.hdr.sgml : 20200124
20200124195548
ACCESSION NUMBER: 0001746687-20-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191204
FILED AS OF DATE: 20200124
DATE AS OF CHANGE: 20200124
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Irwin Dean
CENTRAL INDEX KEY: 0001746687
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38677
FILM NUMBER: 20546874
MAIL ADDRESS:
STREET 1: C/O RA MEDICAL SYSTEMS, 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
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2019-12-04
0
0001716621
Ra Medical Systems, Inc.
rmed
0001746687
Irwin Dean
C/O PHIL TENSER
12520 HIGH BLUFF DRIVE SUITE 240
SAN DIEGO
CA
92130
0
0
1
0
common stock
2019-12-04
4
S
0
7400
1.1873
D
92870
D
common stock
2019-12-04
4
S
0
4400
1.1853
D
78239
I
By Spouse
common stock
2019-12-04
4
F
0
12868
1.96
D
80002
D
common stock
2019-12-04
4
F
0
15442
1.96
D
62797
I
By spouse
common stock
2020-01-22
4
S
0
12950
1.8918
D
67052
D
common stock
2020-01-22
4
S
0
7700
1.8921
D
55097
I
By spouse
common stock
2803852
I
see Footnote
Filed manually with the SEC pursuit to hardship on 12/06/2019
The sales reported were effected pursuant to Rule 10b5-1 trading plans adopted by the reporting person and the reporting person's spouse on Sept. 27, 2018
Represents the number of shares required to be sold by the reporting persons to cover tax witholding obligations in connection with the vesting of restricted stock units. The sale is mandated by the reporting person's award agreement to require the satisfaction of tax witholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary trade by the reporting person.
Shares held of record by Dean Irwin and Melissa Burstein, as trustees U/T/A June 12, 2017, of which Dean Irwin serves as co-trustee.
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at different prices. The Reporting Person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price.
Dean Irwin
2020-01-24