X0303 4 2010-12-16 0 0001496268 REVA Medical, Inc. RVA 0001441372 SAINTS CAPITAL EVEREST LP 475 SANSOME STREET SUITE 1850 SAN FRANCISCO CA 94111 0 0 1 0 Common Stock 2010-12-16 4 C 0 1204180 A 1204180 D Common Stock 2010-12-16 4 C 0 102883 A 1307063 D Common Stock 2010-12-16 4 X 0 17147 6.5066 A 1324210 D Common Stock 2010-12-16 4 F 0 10185 10.9538 D 1314025 D Common Stock 2010-12-16 4 X 0 3430 6.5066 A 1317455 D Common Stock 2010-12-16 4 F 0 2037 10.9538 D 1315418 D Common Stock 2010-12-16 4 C 0 3158164 6.5066 A 4473582 D Common Stock 2010-12-16 4 P 0 90909 1.1 A 4564491 D Series G-1 Preferred Stock 2010-12-16 4 C 0 1204180 D Common Stock 1204180 0 D Series H Preferred Stock 2010-12-16 4 C 0 102883 D Common Stock 102883 0 D Warrant (right to buy) 6.5066 2010-12-16 4 X 0 17147 0 D 2010-05-25 2012-12-07 Common Stock 17147 0 D Warrant (right to buy) 6.5066 2010-12-16 4 X 0 3430 0 D 2010-06-02 2012-12-07 Common Stock 3430 0 D Convertible Note 6.5066 2010-12-16 4 C 0 3146911 0 D 2005-06-08 2011-12-31 Common Stock 3146911 0 D Each share of Series G-1 Preferred Stock was automatically converted into 1.187321 shares of Common Stock upon closing of the Issuer's initial public offering. Each share of Series H Preferred Stock was automatically converted into one share of Common Stock upon the closing of the Issuer's initial public offering. The Series G-1 and H Preferred Stock have no expiration date. Reflects the cashless exercise of the warrant, resulting in the issuance to the Reporting Person of 6,962 shares of common stock and cancellation of the warrant with respect to the balance of 10,185 shares of common stock. Reflects the cashless exercise of the warrant, resulting in the issuance to the Reporting Person of 1,393 shares of common stock and cancellation of the warrant with respect to the balance of 2,037 shares of common stock. The outstanding principal and accrued and unpaid interest on these convertible promissory notes automatically converted into shares of common stock upon the closing of the Issuer's initial public offering, at $6.5066 per share. Represents the U.S. dollar price paid for 90,909 shares of common stock purchased on the Australian Stock Exchange in the form of Chess Depositary Interests ("CDIs") on December 16, 2010. The purchaser price per CDI of $1.10 was calculated using the Aus.$/U.S.$ exchange rate on December 7, 2010 of 0.9983. Scott Halsted 2010-12-21