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