SEC Form 4 · accession 0001209191-15-048093
REVA Medical, Inc. · RVA:AX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R Scott Huennekens
Director
Period of report
May 27, 2015
Accepted (ET)
May 29, 2015 · 7:05 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 StockF1 | May 27, 2015 | A | 15,000 | $0.00 | A | 15,000 | 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)F2 | $3.90 | May 27, 2015 | A | 30,000 | A | — | May 27, 2025 | Common Stock | 30,000 | 30,000 | D |
Explanation of responses
- F1These restricted stock units vest in full on the earlier of (i) May 27, 2016 or (ii) immediately prior to commencement of the Issuer's next annual stockholder meeting.
- F225% of the option shares vest on May 27, 2016 with the remaining option shares vesting in 36 equal monthly installments thereafter.