0000921895-17-001617.txt : 20170523
0000921895-17-001617.hdr.sgml : 20170523
20170523175037
ACCESSION NUMBER: 0000921895-17-001617
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170519
FILED AS OF DATE: 20170523
DATE AS OF CHANGE: 20170523
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ROCKWELL MEDICAL, INC.
CENTRAL INDEX KEY: 0001041024
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
IRS NUMBER: 383317208
STATE OF INCORPORATION: MI
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 30142 S WIXOM RD
CITY: WIXOM
STATE: MI
ZIP: 48393
BUSINESS PHONE: 2489609009
MAIL ADDRESS:
STREET 1: 30142 S WIXOM RD
CITY: WIXOM
STATE: MI
ZIP: 48393
FORMER COMPANY:
FORMER CONFORMED NAME: ROCKWELL MEDICAL TECHNOLOGIES INC
DATE OF NAME CHANGE: 20120530
FORMER COMPANY:
FORMER CONFORMED NAME: ROCKWELL MEDICAL, INC.
DATE OF NAME CHANGE: 20120525
FORMER COMPANY:
FORMER CONFORMED NAME: ROCKWELL MEDICAL TECHNOLOGIES INC
DATE OF NAME CHANGE: 19970722
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Alyssa Danielle Ravich 1991 Irrevocable Trust
CENTRAL INDEX KEY: 0001698590
STATE OF INCORPORATION: MN
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23661
FILM NUMBER: 17864876
BUSINESS ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
BUSINESS PHONE: 763-923-7886
MAIL ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Alexander Coleman Ravich 1991 Irrevocable Trust
CENTRAL INDEX KEY: 0001698545
STATE OF INCORPORATION: MN
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23661
FILM NUMBER: 17864877
BUSINESS ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
BUSINESS PHONE: 763-923-7886
MAIL ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Norman & Sally Ravich Family Trust
CENTRAL INDEX KEY: 0001698591
STATE OF INCORPORATION: MN
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23661
FILM NUMBER: 17864878
BUSINESS ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
BUSINESS PHONE: 763-923-7886
MAIL ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Norman J. Ravich Irrevocable Trust
CENTRAL INDEX KEY: 0001698580
STATE OF INCORPORATION: MN
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23661
FILM NUMBER: 17864879
BUSINESS ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
BUSINESS PHONE: 763-923-7886
MAIL ADDRESS:
STREET 1: 600 SOUTH HIGHWAY 169
STREET 2: SUITE 1660
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RAVICH MARK H
CENTRAL INDEX KEY: 0000897727
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23661
FILM NUMBER: 17864880
4
1
form411265002_05232017.xml
OWNERSHIP DOCUMENT
X0306
4
2017-05-19
0
0001041024
ROCKWELL MEDICAL, INC.
RMTI
0000897727
RAVICH MARK H
600 SOUTH HIGHWAY 169
SUITE 1660
ST. LOUIS PARK
MN
55426
0
0
0
1
See Footnote 1
0001698580
Norman J. Ravich Irrevocable Trust
600 SOUTH HIGHWAY 169
SUITE 1660
ST. LOUIS PARK
MN
55426
0
0
0
1
See Footnote 1
0001698591
Norman & Sally Ravich Family Trust
600 SOUTH HIGHWAY 169
SUITE 1660
ST. LOUIS PARK
MN
55426
0
0
0
1
See Footnote 1
0001698545
Alexander Coleman Ravich 1991 Irrevocable Trust
600 SOUTH HIGHWAY 169
SUITE 1660
ST. LOUIS PARK
MN
55426
0
0
0
1
See Footnote 1
0001698590
Alyssa Danielle Ravich 1991 Irrevocable Trust
600 SOUTH HIGHWAY 169
SUITE 1660
ST. LOUIS PARK
MN
55426
0
0
0
1
See Footnote 1
Common Stock
2017-05-19
4
X
0
30000
6.00
A
314750
D
Common Stock
2017-05-19
4
X
0
10000
6.00
A
10000
I
By: Norman and Sally Ravich Family Trust
Common Stock
44400
I
By: Norman J. Ravich Irrevocable Trust
Common Stock
25000
I
By: Alexander Coleman Ravich 1991 Irrevocable Trust
Common Stock
25000
I
By: Alyssa Danielle Ravich 1991 Irrevocable Trust
Call Option (right to buy)
6.00
2017-05-19
4
X
0
300
0
D
2017-05-19
Common Stock
30000
0
D
Call Option (right to buy)
6.00
2017-05-19
4
X
0
100
0
D
2017-05-19
Common Stock
10000
0
I
By: Norman and Sally Ravich Family Trust
This Form 4 is filed jointly by Norman J. Ravich Irrevocable Trust ("NJR Trust"), Norman and Sally Ravich Family Trust ("NSR Trust"), Alexander Coleman Ravich 1991 Irrevocable Trust ("ACR Trust"), Alyssa Danielle Ravich 1991 Irrevocable Trust ("ADR Trust") and Mark H. Ravich (collectively, the "Reporting Persons"). Each of the Reporting Persons may be deemed to be a member of a Section 13(d) group that may be deemed to collectively beneficially own more than 10% of the Issuer's outstanding shares of Common Stock. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein. The filing of this Form 4 shall not be deemed an admission that the Reporting Persons are, for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, the beneficial owners of any securities of the Issuer he or it does not directly own.
Represents securities owned directly by NJR Trust. Mr. Ravich, as the trustee of NJR Trust, may be deemed to beneficially own the securities owned directly by NJR Trust.
Represents securities owned directly by ACR Trust. Mr. Ravich, as the trustee of ACR Trust, may be deemed to beneficially own the securities owned directly by ACR Trust.
Represents securities owned directly by ADR Trust. Mr. Ravich, as the trustee of ADR Trust, may be deemed to beneficially own the securities owned directly by ADR Trust.
Represents securities owned directly by NSR Trust. Mr. Ravich, as the trustee of NSR Trust, may be deemed to beneficially own the securities owned directly by NSR Trust.
The Call Options reported herein were exercisable beginning on the date of their purchase.
By: /s/ Mark H. Ravich
2017-05-23
By: Norman J. Ravich Irrevocable Trust, By: /s/ Mark H. Ravich, Trustee
2017-05-23
By: Norman and Sally Ravich Family Trust, By: /s/ Mark H. Ravich, Trustee
2017-05-23
By: Alexander Coleman Ravich 1991 Irrevocable Trust, By: /s/ Mark H. Ravich, Trustee
2017-05-23
By: Alyssa Danielle Ravich 1991 Irrevocable Trust, By: /s/ Mark H. Ravich, Trustee
2017-05-23