SEC Form 4 · accession 0001209191-15-025771
REVA Medical, Inc. · RVA:AX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald K. Brandom
Officer — SVP, Product Development
Period of report
Mar 10, 2015
Accepted (ET)
Mar 12, 2015 · 6:54 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001496268
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 10, 2015 | M | 50,000 | $1.25 | A | 95,050 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy) | $1.25 | Mar 10, 2015 | M | 50,000 | D | Jul 13, 2005 | Jul 13, 2015 | Common Stock | 50,000 | 0 | D |