Filing Details

Accession Number:
0001209191-17-034059
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-05-19 18:27:42
Reporting Period:
2017-05-17
Filing Date:
2017-05-19
Accepted Time:
2017-05-19 18:27:42
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1496268 Reva Medical Inc. RVA:AX Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842) 330810505
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1502901 K. Robert Schultz 5751 Copley Drive
San Diego CA 92111
President & Coo No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2017-05-17 55,000 $6.66 277,000 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 5,000 Indirect The Schultz Family Trust dtd 10/20/2000
Footnotes
  1. Represents the sale of 550,000 of the Company's Chess Depositary Interests (CDIs), trading on the Austrialian Securities Exchange.
  2. The 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.
  3. Mr. 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.