0001746687-20-000003.txt : 20200429
0001746687-20-000003.hdr.sgml : 20200429
20200429165654
ACCESSION NUMBER: 0001746687-20-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200427
FILED AS OF DATE: 20200429
DATE AS OF CHANGE: 20200429
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: 20831234
MAIL ADDRESS:
STREET 1: C/O RA MEDICAL SYSTEMS, INC.
STREET 2: 2070 LAS PALMAS DRIVE
CITY: CARLSBAD
STATE: CA
ZIP: 92011
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burstein Melissa
CENTRAL INDEX KEY: 0001746295
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38677
FILM NUMBER: 20831235
MAIL ADDRESS:
STREET 1: C/O RA MEDICAL SYSTEMS, INC.
STREET 2: 2070 LAS PALMAS DRIVE
CITY: CARLSBAD
STATE: CA
ZIP: 92011
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dean Irwin & Melissa Burstein, as Trustees U/T/A June 12, 2017
CENTRAL INDEX KEY: 0001748379
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38677
FILM NUMBER: 20831236
BUSINESS ADDRESS:
STREET 1: C/O RA MEDICAL SYSTEMS, INC.
STREET 2: 2070 LAS PALMAS DRIVE
CITY: CARLSBAD
STATE: CA
ZIP: 92011
BUSINESS PHONE: 760-804-1648
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
2020-04-27
0
0001716621
Ra Medical Systems, Inc.
RMED
0001746687
Irwin Dean
C/O PHIL TENSER
12520 HIGH BLUFF DR, SUITE 240
SAN DIEGO
CA
92130
0
0
1
0
0001746295
Burstein Melissa
C/O PHIL TENSER
12520 HIGH BLUFF DR, SUITE 240
SAN DIEGO
CA
92130
0
0
1
0
0001748379
Dean Irwin & Melissa Burstein, as Trustees U/T/A June 12, 2017
C/O PHIL TENSER
12520 HIGH BLUFF DR, SUITE 240
SAN DIEGO
CA
92130
0
0
1
0
RMED
2020-04-27
2020-04-27
4
S
0
44400
1.0275
D
22652
D
RMED
2020-04-27
2020-04-27
4
S
0
26400
1.0296
D
28697
I
By spouse
RMED
2020-04-28
2020-04-28
4
S
0
60000
1.0669
D
2743852
I
See footnote
The sales reported were pursuant to Rule 10b5-1 trading plans adopted by the reporting person and the reporting person's spouse on Sept. 27, 2018.
The reported price 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.
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
Dean Irwin
2020-04-29