0001209191-23-003028.txt : 20230111
0001209191-23-003028.hdr.sgml : 20230111
20230111171747
ACCESSION NUMBER: 0001209191-23-003028
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230109
FILED AS OF DATE: 20230111
DATE AS OF CHANGE: 20230111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Caruso James Joseph
CENTRAL INDEX KEY: 0001397215
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38677
FILM NUMBER: 23524238
MAIL ADDRESS:
STREET 1: 28 FIRST AVE
CITY: SEASIDE PARK
STATE: NJ
ZIP: 08752
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
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5857 OWENS DRIVE, SUITE 300
CITY: CARLSBAD
STATE: CA
ZIP: 92009
BUSINESS PHONE: (760) 804-1648
MAIL ADDRESS:
STREET 1: 5857 OWENS DRIVE, SUITE 300
CITY: CARLSBAD
STATE: CA
ZIP: 92009
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2023-01-09
0
0001716621
Ra Medical Systems, Inc.
RMED
0001397215
Caruso James Joseph
C/O RA MEDICAL SYSTEMS, INC.
5857 OWENS DRIVE, SUITE 300
CARLSBAD
CA
92009
1
0
0
0
Series X Convertible Preferred Stock
2023-01-09
4
A
0
9.711
A
Common Stock
9711
9.711
D
Following stockholder approval of the conversion of Series X Convertible Preferred Stock into shares of Common Stock, each share of Series X Convertible Preferred Stock automatically converts into 1,000 shares of Common Stock, subject to certain limitations.
On January 9, 2023, the Issuer, completed its acquisition of Catheter Precision, Inc., a privately-held Delaware corporation ("Catheter"), pursuant to an Amended and Restated Agreement and Plan of Merger (the "Merger"). In connection with the Merger, each share of Catheter common stock previously outstanding held by the reporting person now represents a number of shares of Series X Convertible Preferred Stock equal to approximately 0.6697, divided by one thousand (1,000).
Series X Convertible Preferred Stock has no expiration date.
/s/ Will McGuire, as Attorney-in-Fact
2023-01-11