0001209191-12-033919.txt : 20120614 0001209191-12-033919.hdr.sgml : 20120614 20120614190040 ACCESSION NUMBER: 0001209191-12-033919 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120605 FILED AS OF DATE: 20120614 DATE AS OF CHANGE: 20120614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Anderson Jeffrey A. CENTRAL INDEX KEY: 0001513937 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 12908580 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 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 CITY: SAN DIEGO STATE: CA ZIP: 92111 BUSINESS PHONE: (858) 966-3000 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0305 4/A 2012-06-05 2012-06-06 0 0001496268 REVA Medical, Inc. RVA:AX 0001513937 Anderson Jeffrey A. 5751 COPLEY DRIVE SAN DIEGO CA 92111 0 1 0 0 VP, Clinical & Regulatory Common Stock 2012-06-05 4 S 0 2500 6.16 D 5000 D Common Stock 2012-06-05 4 S 0 2500 6.16 D 2500 D Common Stock 2012-06-05 4 S 0 2500 6.18 D 0 D Represents the sale of 25,000 of the Company's Chess Depositary Interests (CDIs), trading on the Austrialian Securities Exchange. The purchase was executed in the form of CDIs, trading on the Austrialian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction. The original Form 4 Report filed on June 6, 2012 incorrectly stated the price as $5.88. The original Form 4 Report filed on June 6, 2012 incorrectly stated the price as $5.97. The original Form 4 Report filed on June 6, 2012 incorrectly stated the price as $6.07. /s/ Katrina Thompson, Attorney-in-fact 2012-06-14