X0306 4 2021-01-05 0 0001716621 Ra Medical Systems, Inc. RMED 0001208236 COLOMBATTO MARTIN J C/O RA MEDICAL SYSTEMS, INC. 2070 LAS PALMAS DRIVE CARLSBAD CA 92011 1 0 0 0 Common Stock 2021-01-05 4 A 0 10000 0.00 A 25439 D Common Stock 1500 I See Footnote The Reporting Person has elected to receive his 2021 retainer compensation in restricted stock, rather than cash. Subject to the Reporting Person continuing to be a "Service Provider" (as defined in the Company's 2018 Equity Incentive Plan) through each vesting date, the shares shall vest as follows: 25% of the shares subject to the restricted stock award shall vest quarterly on the fifth of the month immediately following the end of the quarter corresponding with the date of grant (i.e. April 5, 2021, July 5, 2021, October 5, 2021, and January 5, 2022), such that the shares shall be fully vested on January 5, 2022. Shares held of record by the M Colombatto Trust, for which the reporting person serves as trustee. /s/ Daniel Horwood, as Attorney-in-Fact 2021-01-07