0001209191-15-059106.txt : 20150702 0001209191-15-059106.hdr.sgml : 20150702 20150702181311 ACCESSION NUMBER: 0001209191-15-059106 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150701 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 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: Zeltinger Joan K. CENTRAL INDEX KEY: 0001502920 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 15971406 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-07-01 0 0001496268 REVA Medical, Inc. RVA:AX 0001502920 Zeltinger Joan K. 5751 COPLEY DRIVE SAN DIEGO CA 92111 0 1 0 0 VP, Scientific Affairs Common Stock 2015-07-01 4 M 0 10000 1.25 A 70000 D Stock Option (Right to Buy) 1.25 2015-07-01 4 M 0 10000 0.00 D 2005-07-13 2015-07-13 Common Stock 10000 0 D /s/ Joan Zeltinger 2015-07-02