0001654954-23-003615.txt : 20230327
0001654954-23-003615.hdr.sgml : 20230327
20230327172022
ACCESSION NUMBER: 0001654954-23-003615
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230323
FILED AS OF DATE: 20230327
DATE AS OF CHANGE: 20230327
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: 23765466
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: 1670 HIGHWAY 160 WEST
STREET 2: SUITE 205
CITY: FORT MILL
STATE: SC
ZIP: 29708
BUSINESS PHONE: 973-691-2000
MAIL ADDRESS:
STREET 1: 1670 HIGHWAY 160 WEST
STREET 2: SUITE 205
CITY: FORT MILL
STATE: SC
ZIP: 29708
4
1
section16.xml
PRIMARY DOCUMENT
X0407
4
2023-03-23
0001716621
Ra Medical Systems, Inc.
RMED
0001397215
Caruso James Joseph
C/O RA MEDICAL SYSTEMS, INC.
1670 HIGHWAY 160 WEST, SUITE 205
FORT MILL
SC
29708
true
false
false
false
Common Stock
2023-03-23
4
C
false
1779
0
A
1779
D
Series X Convertible Preferred Stock
0
2023-03-23
4
C
false
1.779
0
D
Common Stock
7932
7.932
D
This the transaction was the result of the automatic conversion of shares of Series X Preferred upon receipt of stockholder approval.
Each share of preferred stock will automatically convert into 1000 shares of common stock on or after July 9, 2024, if the Company satisfies the initial listing standards of a national securities exchange or has been delisted from the NYSE American.
Series X Convertible Preferred Stock has no expiration date.
/s/ James Joseph Caruso
2023-03-24