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