0001209191-18-038213.txt : 20180615 0001209191-18-038213.hdr.sgml : 20180615 20180615203026 ACCESSION NUMBER: 0001209191-18-038213 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180613 FILED AS OF DATE: 20180615 DATE AS OF CHANGE: 20180615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thomas Robert Bain CENTRAL INDEX KEY: 0001404477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 18903464 MAIL ADDRESS: STREET 1: SUITE 4 LEVEL 46 2 PARK STREET CITY: SIDNEY STATE: C3 ZIP: 2000 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 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-06-13 0 0001496268 REVA Medical, Inc. RVA.AX 0001404477 Thomas Robert Bain 5751 COPLEY DRIVE SAN DIEGO CA 92111 1 0 0 0 Common Stock 2018-06-13 4 P 0 2500 1.86 A 97500 I Rob Thomas Superannuation Fund Common Stock 2018-06-14 4 P 0 2500 1.74 A 100000 I Rob Thomas Superannuation Fund Common Stock 37300 D Represents the purchase of 25,000 of the Issuer's CHESS Depositary Interests (CDIs) trading on the Australian Securities Exchange. The purchase was executed in the form of CDIs, trading on the Australian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the conversion ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction. /s/ Brandi Roberts, Attorney-in-Fact 2018-06-15