SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Susi Roger E.

(Last) (First) (Middle)
C/O IRADIMED CORPORATION
1025 WILLA SPRINGS DR.

(Street)
WINTER SPRINGS FL 32708

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/15/2014
3. Issuer Name and Ticker or Trading Symbol
IRADIMED CORP [ IRMD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO, President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 2,275,000(1) I By Roger E. Susi Revocable Trust
Common Stock 2,362,500(1) I By Matthew Susi 2008 Dynasty Trust
Common Stock 2,362,500(1) I By Phillip Susi 2008 Dynasty Trust
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
Susi Roger E.

(Last) (First) (Middle)
C/O IRADIMED CORPORATION
1025 WILLA SPRINGS DR.

(Street)
WINTER SPRINGS FL 32708

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO, President
1. Name and Address of Reporting Person*
Phillip Susi 2008 Dynasty Trust

(Last) (First) (Middle)
C/O IRADIMED CORPORATION
1025 WILLA SPRINGS DR.

(Street)
WINTER SPRINGS FL 32078

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Matthew Susi 2008 Dynasty Trust

(Last) (First) (Middle)
C/O IRADIMED CORPORATION
1025 CORPORATION

(Street)
WINTER SPRINGS FL 32078

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Roger E. Susi Revocable Trust

(Last) (First) (Middle)
C/O IRADIMED CORPORATION
1025 WILLA SPRINGS DR.

(Street)
WINTER SPRINGS FL 32708

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
Remarks:
/s/ Roger E. Susi 07/15/2014
/s/ Roger E. Susi, as trustee of the Roger E. Susi Revocable Trust 07/15/2014
/s/ Roger E. Susi, as trustee of the Matthew Susi 2008 Dynasty Trust 07/15/2014
/s/ Roger E. Susi, as trustee of the Phillip Susi 2008 Dynasty Trust 07/15/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.