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