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