0001209191-21-066773.txt : 20211124 0001209191-21-066773.hdr.sgml : 20211124 20211124160229 ACCESSION NUMBER: 0001209191-21-066773 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211120 FILED AS OF DATE: 20211124 DATE AS OF CHANGE: 20211124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McGuire Jonathan Will CENTRAL INDEX KEY: 0001345539 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38677 FILM NUMBER: 211446370 MAIL ADDRESS: STREET 1: 96 TALAMINE COURT CITY: COLORADO SPRINGS STATE: CO ZIP: 80907 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Ra Medical Systems, Inc. CENTRAL INDEX KEY: 0001716621 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 383661826 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2070 LAS PALMAS DRIVE CITY: CARLSBAD STATE: CA ZIP: 92011 BUSINESS PHONE: (760) 804-1648 MAIL ADDRESS: STREET 1: 2070 LAS PALMAS DRIVE CITY: CARLSBAD STATE: CA ZIP: 92011 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-20 0 0001716621 Ra Medical Systems, Inc. RMED 0001345539 McGuire Jonathan Will C/O RA MEDICAL SYSTEMS, INC. 2070 LAS PALMAS DRIVE CARLSBAD CA 92011 1 1 0 0 Chief Executive Officer Common Stock 2021-11-20 4 D 0 34752 0.00 D 74870 D Common Stock 2021-11-22 4 S 0 8149 2.62 D 66721 D Represents forfeiture of shares underlying restricted stock award granted on November 17, 2020. Shares sold to satisfy the tax withholding requirement upon vesting of restricted stock awards. /s/ Andrew Jackson, as Attorney-in-Fact 2021-11-24