Filing Details
- Accession Number:
- 0001441372-10-000004
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2010-12-21 12:07:43
- Reporting Period:
- 2010-12-16
- Filing Date:
- 2010-12-21
- Accepted Time:
- 2010-12-21 12:07:43
- SEC Url:
- Form 4 Filing
Issuer
Cik | Name | Symbol | Sector (SIC) | IRS No |
---|---|---|---|---|
1496268 | Reva Medical Inc. | RVA | Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842) | 330810505 |
Insiders
Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
---|---|---|---|---|---|---|---|
1441372 | Saints Capital Everest Lp | 475 Sansome Street Suite 1850 San Francisco CA 94111 | No | No | Yes | 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 | Acquisiton | 2010-12-16 | 1,204,180 | $0.00 | 1,204,180 | No | 4 | C | Direct | |
Common Stock | Acquisiton | 2010-12-16 | 102,883 | $0.00 | 1,307,063 | No | 4 | C | Direct | |
Common Stock | Acquisiton | 2010-12-16 | 17,147 | $6.51 | 1,324,210 | No | 4 | X | Direct | |
Common Stock | Disposition | 2010-12-16 | 10,185 | $10.95 | 1,314,025 | No | 4 | F | Direct | |
Common Stock | Acquisiton | 2010-12-16 | 3,430 | $6.51 | 1,317,455 | No | 4 | X | Direct | |
Common Stock | Disposition | 2010-12-16 | 2,037 | $10.95 | 1,315,418 | No | 4 | F | Direct | |
Common Stock | Acquisiton | 2010-12-16 | 3,158,164 | $6.51 | 4,473,582 | No | 4 | C | Direct | |
Common Stock | Acquisiton | 2010-12-16 | 90,909 | $1.10 | 4,564,491 | No | 4 | P | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | C | Direct | |
No | 4 | C | Direct | |
No | 4 | X | Direct | |
No | 4 | F | Direct | |
No | 4 | X | Direct | |
No | 4 | F | Direct | |
No | 4 | C | Direct | |
No | 4 | P | Direct |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Series G-1 Preferred Stock | Disposition | 2010-12-16 | 1,204,180 | $0.00 | 1,204,180 | $0.00 |
Common Stock | Series H Preferred Stock | Disposition | 2010-12-16 | 102,883 | $0.00 | 102,883 | $0.00 |
Common Stock | Warrant (right to buy) | Disposition | 2010-12-16 | 17,147 | $0.00 | 17,147 | $6.51 |
Common Stock | Warrant (right to buy) | Disposition | 2010-12-16 | 3,430 | $0.00 | 3,430 | $6.51 |
Common Stock | Convertible Note | Disposition | 2010-12-16 | 3,146,911 | $0.00 | 3,146,911 | $6.51 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
0 | No | 4 | C | Direct | ||
0 | No | 4 | C | Direct | ||
0 | 2010-05-25 | 2012-12-07 | No | 4 | X | Direct |
0 | 2010-06-02 | 2012-12-07 | No | 4 | X | Direct |
0 | 2005-06-08 | 2011-12-31 | No | 4 | C | Direct |
Footnotes
- Each share of Series G-1 Preferred Stock was automatically converted into 1.187321 shares of Common Stock upon closing of the Issuer's initial public offering.
- Each share of Series H Preferred Stock was automatically converted into one share of Common Stock upon the closing of the Issuer's initial public offering.
- The Series G-1 and H Preferred Stock have no expiration date.
- Reflects the cashless exercise of the warrant, resulting in the issuance to the Reporting Person of 6,962 shares of common stock and cancellation of the warrant with respect to the balance of 10,185 shares of common stock.
- Reflects the cashless exercise of the warrant, resulting in the issuance to the Reporting Person of 1,393 shares of common stock and cancellation of the warrant with respect to the balance of 2,037 shares of common stock.
- The outstanding principal and accrued and unpaid interest on these convertible promissory notes automatically converted into shares of common stock upon the closing of the Issuer's initial public offering, at $6.5066 per share.
- Represents the U.S. dollar price paid for 90,909 shares of common stock purchased on the Australian Stock Exchange in the form of Chess Depositary Interests ("CDIs") on December 16, 2010. The purchaser price per CDI of $1.10 was calculated using the Aus.$/U.S.$ exchange rate on December 7, 2010 of 0.9983.