SEC Form 4 · accession 0001209191-16-136667
REVA Medical, Inc. · RVA:AX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey A. Anderson
Officer — SVP, Clinical & Regulatory
Period of report
Aug 9, 2016
Accepted (ET)
Aug 11, 2016 · 7:27 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001496268
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F1 | $4.00 | Aug 9, 2016 | A | 12,250 | A | Aug 9, 2016 | Mar 9, 2025 | Common Stock | 12,250 | 12,250 | D |
Explanation of responses
- F1On March 9, 2015, the reporting person was granted an option to purchase 35,000 shares of common stock. The option vests based on satisfaction of certain performance criteria. On August 9, 2016, the Board of Directors determined that the performance criteria for 35% of the option was met, resulting in vesting of the option as to 12,250 shares.