0001628280-20-008127.txt : 20200520 0001628280-20-008127.hdr.sgml : 20200520 20200520164032 ACCESSION NUMBER: 0001628280-20-008127 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200518 FILED AS OF DATE: 20200520 DATE AS OF CHANGE: 20200520 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: 20898653 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ROCKWELL MEDICAL, INC. CENTRAL INDEX KEY: 0001041024 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 383317208 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 411 HACKENSACK AVE., SUITE 501 CITY: HACKENSACK STATE: NJ ZIP: 07601 BUSINESS PHONE: 2489609009 MAIL ADDRESS: STREET 1: 411 HACKENSACK AVE., SUITE 501 CITY: HACKENSACK STATE: NJ ZIP: 07601 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 4 1 wf-form4_159000721396814.xml FORM 4 X0306 4 2020-05-18 0 0001041024 ROCKWELL MEDICAL, INC. RMTI 0000897727 RAVICH MARK H C/O ROCKWELL MEDICAL, INC. 411 HACKENSACK AVENUE, SUITE 501 HACKENSACK NJ 07601 1 0 0 0 Common Stock 2020-05-18 4 A 0 30800 0 A 387509 D Common Stock 10000 I By: Norman and Sally Ravich Family Trust Common Stock 25000 I By: Alexander Coleman Ravich 1991 Irrevocable Trust Common Stock 25000 I By: Alyssa Danielle Ravich 1991 Irrevocable Trust Stock Option (Right to Buy) 2.04 2020-05-18 4 A 0 34024 0 A 2030-05-18 Common Stock 34024.0 34024 D Restricted stock units vest on May 18, 2021, subject to the Reporting Person's continued service to the Issuer. Includes 19,759 shares of common stock underlying unvested restricted stock units that vest based on the achievement of certain time-based milestones. Represents securities owned directly by Norman and Sally Ravich Family Trust ("NSR Trust"). Mr. Ravich, as the trustee of NSR Trust, may be deemed to beneficially own the securities owned directly by NSR Trust. Represents securities owned directly by Alexander Coleman Ravich 1991 Irrevocable Trust ("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 Alyssa Danielle Ravich 1991 Irrevocable Trust ("ADR Trust"). Mr. Ravich, as the trustee of ADR Trust, may be deemed to beneficially own the securities owned directly by ADR Trust. Stock options vest on May 18, 2021, subject to the Reporting Person's continued service to the Issuer. /s/ Michael G. Costello, Attorney-in-Fact for Mark H. Ravich 2020-05-20