-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TyEkJNpZuGDVfucMfE181/ih5LMXRpgs3lHe/SboGug8+NFAsL8bSv8+u5dAQRIa oOvuSSz8melZNYsWU31JUQ== 0001209191-10-061794.txt : 20101220 0001209191-10-061794.hdr.sgml : 20101220 20101220185052 ACCESSION NUMBER: 0001209191-10-061794 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20101216 FILED AS OF DATE: 20101220 DATE AS OF CHANGE: 20101220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHIRO JAMES J CENTRAL INDEX KEY: 0001217164 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 101263988 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: REVA Medical, Inc. CENTRAL INDEX KEY: 0001496268 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 330810505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5751 COPLEY DRIVE, SUITE B CITY: SAN DIEGO STATE: CA ZIP: 92111 BUSINESS PHONE: (858) 966-3000 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE, SUITE B CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2010-12-16 0 0001496268 REVA Medical, Inc. RVA 0001217164 SCHIRO JAMES J 5751 COPLEY DRIVE, SUITE B SAN DIEGO CA 92111 1 0 0 0 CHESS Depository Interests 2010-12-16 4 P 0 90909 A Common Stock 9090 90909 D Australian CHESS Depositary Interests (CDIs) trade on the Australian Stock Exchange (ASX) and evidence beneficial ownership of Issuer's Common Stock on a ten-for-one basis. Represents 9,090 shares of Issuer's Common Stock. The CDIs are convertible into the Issuer's Common Stock on a ten-for-one basis at any time. The CDIs were purchased in the Company's initial public offering at a purchase price of A$1.10 per CDI, or the equivelant of A$11.00 per share of Common Stock. /s/ Katrina Thompson, Attorney-in-fact 2010-12-20 EX-24.4_355790 2 poa.txt POA DOCUMENT POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Robert K. Schultz and Katrina Thompson, and each of them individually, his true and lawful attorney-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer, director and/or 10% or greater stockholder of REVA Medical, Inc. (the "Company"), any and all Form 3, 4 and 5 reports required to be filed by the undersigned in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 report and timely file such report with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned, pursuant to this Power of Attorney, shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in his discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform each and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that no such attorney-in-fact, in serving in such capacity at the request of the undersigned, is hereby assuming, nor is the Company hereby assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, as amended. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Form 3, 4 and 5 reports with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 9th day of November, 2010. /s/ James J. Schiro Signature James J. Schiro Print Name -----END PRIVACY-ENHANCED MESSAGE-----