SEC Form 4 · accession 0001209191-17-034059
REVA Medical, Inc. · RVA:AX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert K. Schultz
Officer — President & COO
Period of report
May 17, 2017
Accepted (ET)
May 19, 2017 · 6:27 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,F2 | May 17, 2017 | S | 55,000 | $6.66 | D | 277,000 | D | |
| Common StockF3 | holding | — | — | — | 5,000 | I | The Schultz Family Trust dtd 10/20/2000 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the sale of 550,000 of the Company's Chess Depositary Interests (CDIs), trading on the Austrialian Securities Exchange.
- F2The sale was executed in the form of CDIs, trading on the Austrialian Securities Exchange, and as such the sale price has been converted to a USD equivalent, adjusting for the ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction.
- F3Mr. Schultz, along with Patricia Schultz, is the trustee of The Schultz Family Trust dtd 10/20/2000 and has voting and dispositive power with respect to these shares. Mr. Schultz disclaims beneficial ownership except to the extent of his pecuniary interest therein.