0001209191-20-045195.txt : 20200805 0001209191-20-045195.hdr.sgml : 20200805 20200805171436 ACCESSION NUMBER: 0001209191-20-045195 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200803 FILED AS OF DATE: 20200805 DATE AS OF CHANGE: 20200805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kraws Jeffrey J CENTRAL INDEX KEY: 0001380918 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38677 FILM NUMBER: 201078585 MAIL ADDRESS: STREET 1: 3985 RESEARCH PARK DRIVE CITY: ANN ARBOR STATE: MI ZIP: 48108 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 2020-08-03 0 0001716621 Ra Medical Systems, Inc. RMED 0001380918 Kraws Jeffrey J C/O RA MEDICAL SYSTEMS, INC. 2070 LAS PALMAS DRIVE CARLSBAD CA 92011 0 1 0 0 Co-President Common Stock 2020-08-03 4 P 0 10000 0.35 A 133339 D Warrants (right to buy) 0.35 2020-08-03 4 P 0 10000 0.00 A 2020-08-03 2025-08-04 Common Stock 10000 10000 D /s/ Daniel Horwood, as Attorney-in-Fact 2020-08-05