0001209191-14-059000.txt : 20140922 0001209191-14-059000.hdr.sgml : 20140922 20140922160635 ACCESSION NUMBER: 0001209191-14-059000 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140918 FILED AS OF DATE: 20140922 DATE AS OF CHANGE: 20140922 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thompson Katrina CENTRAL INDEX KEY: 0001502900 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 141114144 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-09-18 0 0001496268 REVA Medical, Inc. RVA:AX 0001502900 Thompson Katrina 5751 COPLEY DRIVE SAN DIEGO CA 92111 0 1 0 0 CFO & Secretary Common Stock 2014-09-18 4 M 0 20000 1.25 A 131500 D Common Stock 2014-09-18 4 M 0 3575 1.40 A 135075 D Stock Option (Right to Buy) 1.25 2014-09-18 4 M 0 20000 0.00 D 2005-07-13 2015-07-13 Common Stock 20000 0 D Stock Option (Right to Buy) 1.40 2014-09-18 4 M 0 3575 0.00 D 2008-11-20 2018-11-20 Common Stock 3575 0 D /s/ Katrina Thompson 2014-09-22