0001104659-22-069689.txt : 20220609
0001104659-22-069689.hdr.sgml : 20220609
20220609163605
ACCESSION NUMBER: 0001104659-22-069689
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220607
FILED AS OF DATE: 20220609
DATE AS OF CHANGE: 20220609
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RAVICH MARK H
CENTRAL INDEX KEY: 0000897727
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-23661
FILM NUMBER: 221006414
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ROCKWELL MEDICAL, INC.
CENTRAL INDEX KEY: 0001041024
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 383317208
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 30142 WIXOM ROAD
CITY: WIXOM
STATE: MI
ZIP: 48393
BUSINESS PHONE: 8004493353
MAIL ADDRESS:
STREET 1: 30142 WIXOM ROAD
CITY: WIXOM
STATE: MI
ZIP: 48393
FORMER COMPANY:
FORMER CONFORMED NAME: ROCKWELL MEDICAL TECHNOLOGIES INC
DATE OF NAME CHANGE: 20120530
FORMER COMPANY:
FORMER CONFORMED NAME: ROCKWELL MEDICAL, INC.
DATE OF NAME CHANGE: 20120525
FORMER COMPANY:
FORMER CONFORMED NAME: ROCKWELL MEDICAL TECHNOLOGIES INC
DATE OF NAME CHANGE: 19970722
4
1
tm2218111-4_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-06-07
0
0001041024
ROCKWELL MEDICAL, INC.
RMTI
0000897727
RAVICH MARK H
C/O ROCKWELL MEDICAL, INC.
30142 WIXOM ROAD
WIXOM
MI
48393
1
0
0
0
Common Stock
2022-06-07
4
A
0
25000
0
A
278604
D
Common Stock
16000
I
By: Alyssa Danielle Ravich 1991 Irrevocable Trust
Common Stock
9000
I
By: Alexander Coleman Ravich 1991 Irrevocable Trust
Common Stock
219905
I
BY: Revocable Trust of Mark H Ravich
Restricted stock units vest on June 7, 2023, subject to the Reporting Person's continued service to the Issuer.
Represents securities owned directly by Alyssa Danielle Ravich 1991 Irrevocable Trust ("ADR Trust"). Mr. Ravich, as the trustee of ADR Trust, may be deemed to beneficially own the securities owned directly by ADR Trust.
Represents securities owned directly by Alexander Coleman Ravich 1991 Irrevocable Trust ("ACR Trust"). Mr. Ravich, as the trustee of ACR Trust, may be deemed to beneficially own the securities owned directly by ACR Trust.
Represents securities owned directly by Revocable Trust of Mark H Ravich ("MHR Trust"). Mr. Ravich, as the trustee of MHR Trust, may be deemed to beneficially own the securities owned directly by MHR Trust.
/s/ David Kull, Attorney-in-Fact for Mark H. Ravich
2022-06-09