0001628280-20-017292.txt : 20201209
0001628280-20-017292.hdr.sgml : 20201209
20201209165855
ACCESSION NUMBER: 0001628280-20-017292
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201207
FILED AS OF DATE: 20201209
DATE AS OF CHANGE: 20201209
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: 201378412
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: 30142 WIXOM ROAD
CITY: WIXOM
STATE: MI
ZIP: 48393
BUSINESS PHONE: 8004493353
MAIL ADDRESS:
STREET 1: 30142 WIXOM ROAD
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
4
1
wf-form4_160755112113783.xml
FORM 4
X0306
4
2020-12-07
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
2020-12-07
4
J
0
219905
1.224
D
0
I
By: Cindy Libman Irrevocable Trust
Common Stock
2020-12-07
4
J
0
219905
1.224
A
219905
I
BY: Revocable Trust of Mark H Ravich
Common Stock
203604
D
Common Stock
9000
I
By: Alexander Coleman Ravich 1991 Irrevocable Trust
Common Stock
16000
I
By: Alyssa Danielle Ravich 1991 Irrevocable Trust
Represents the transfer of shares of common stock from Cindy Libman Irrevocable Trust ("CL Trust") to Revocable Trust of Mark H Ravich ("MHR Trust"). The Reporting Person is the trustee of each of the CL Trust and the MHR Trust. The Reporting Person's total beneficial ownership in the Issuer has not changed, as he was the beneficial owner of these shares both before and after the transfer reported herein.
Represents securities owned directly by CL Trust. Mr. Ravich, as the trustee of CL Trust, may be deemed to beneficially own the securities owned directly by CL Trust.
Represents securities owned directly by Revocable Trust of Mark H Ravich ("MHR Trust"). Mr. Ravich, as the trustee of MHR Trust, may be deemed to beneficially own the securities owned directly by MHR Trust.
Includes 30,800 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 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.
/s/ Michael G. Costello, Attorney-in-Fact for Mark H. Ravich
2020-12-09