0001105806-19-000014.txt : 20190412
0001105806-19-000014.hdr.sgml : 20190412
20190412124528
ACCESSION NUMBER: 0001105806-19-000014
CONFORMED SUBMISSION TYPE: SC 13G
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20190412
DATE AS OF CHANGE: 20190412
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: Ra Medical Systems, Inc.
CENTRAL INDEX KEY: 0001716621
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 383661826
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-90844
FILM NUMBER: 19745786
BUSINESS ADDRESS:
STREET 1: 2070 LAS PALMAS DRIVE
CITY: CARLSBAD
STATE: CA
ZIP: 92011
BUSINESS PHONE: (760) 804-1648
MAIL ADDRESS:
STREET 1: 2070 LAS PALMAS DRIVE
CITY: CARLSBAD
STATE: CA
ZIP: 92011
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: LYTTON LAURENCE W
CENTRAL INDEX KEY: 0001105806
FILING VALUES:
FORM TYPE: SC 13G
MAIL ADDRESS:
STREET 1: 467 CPW
CITY: NY
STATE: NY
ZIP: 10025
SC 13G
1
rmed.txt
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
Schedule 13G
Under the Securities Exchange Act of 1934
Ra Medical Systems, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
74933X104
(CUSIP Number)
April 3, 2019
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this
Schedule is filed:
[ ] Rule 13d-1(b)
[X] Rule 13d-1(c)
[_] Rule 13d-1(d)
The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities,
and for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be
deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 ("Act") or otherwise subject to the liabilities of that Section
of the Act but shall be subject to all other provisions of the Act (however,
see the Notes).
CUSIP No. 290846203
1. Names of Reporting Persons
Laurence W. Lytton
2. Check the Appropriate Box if a Member of a Group
Not Applicable
3. SEC Use Only
4. Citizenship or Place of Organization
USA
Number of
Shares Beneficially Owned By
Each Reporting Person With
5. Sole Voting Power 623,369
6. Shared Voting Power 26,077
7. Sole Dispositive Power 623,369
8. Shared Dispositive Power 26,077
9. Aggregate Amount Beneficially Owned by Each Reporting Person
649,446
10. Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (See Instructions) [_]
Not Applicable
11. Percent of Class Represented by Amount in Row (9)
5.1 % (1)
(1) based on 12,689,251 shares of common stock outstanding
as of March 13, 2019 as reported in the December 31, 2018
10-K filed March 15, 2019.
12. Type of Reporting Person (See
Instructions)
IN
Item 1.
(a) Name of Issuer Ra Medical Systems, Inc.
(b) Address of Issuer's Principal Executive Offices
2070 Las Palmas Drive, Carlsbad, California 92011
Item 2.
(a) Name of Person Filing
Laurence W. Lytton
(b) Address of Principal Business Office, or if none, Residence
467 CPW NY, NY 10025
(c) Citizenship
USA
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number
74933X104
Item 3. not applicable
Item 4. Ownership.
Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.
(a) Amount beneficially owned: 649,446 shares consisting of
531,961 held by the reporting person, 53,462 held by the AWL
Family LLC, 37,946 held by the Lytton-Kambara Foundation,
19,364 held by the IKL Trust, and 6,713 shares held by other
related accounts.
(b) Percent of class: 5.1%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote 623,369
(ii) Shared power to vote or to direct the vote 26,077
(iii) Sole power to dispose or to direct the disposition of 623,369
(iv) Shared power to dispose or to direct the disposition of 26,077
Item 5. Ownership of Five Percent or Less of a Class.
If this statement is being filed to report the fact that as of the
date hereof the reporting person has ceased to be the beneficial owner of more
than five percent of the class of securities check the following [ ].
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
not applicable
Item 7. Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on by the Parent Holding Company.
Not Applicable
Item 8. Identification and Classification of Members of the Group.
Not Applicable
Item 9. Notice of Dissolution of Group.
Not Applicable
Item 10. Certifications.
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were acquired and are held in the ordinary
course of business and were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer of
the securities and were not acquired and are not held in connection with or
as a participant in any transaction having that purpose or effect.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
________4/12/19____________________________
Date
____s/ Laurence W. Lytton____________________________
Signature
_____Laurence W. Lytton___________________________
Name/Title