Filing Details

Accession Number:
0001209191-15-050210
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-06-04 17:58:35
Reporting Period:
2015-06-03
Filing Date:
2015-06-04
Accepted Time:
2015-06-04 17:58:35
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
1404726 Bernard Robert Stockman 5751 Copley Drive
San Diego CA 92111
Chairman And Ceo Yes 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 Acquisiton 2015-06-03 6,250 $4.00 249,313 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 227,718 Indirect By wife
Common Stock 1,341,175 Indirect Group Outcome Investors I, LLC
Common Stock 1,101,615 Indirect Kenneth Rainin Administrative Trust U/D/T 3/29/90
Footnotes
  1. Represents the purchase of 62,500 of the Company's Chess Depository Interests (CDIs), trading on the Austrialian Securities Exchange.
  2. The purchase was executed in the form of CDIs, trading on the Austrialian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the conversion ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction.
  3. Represents shares held by Group Outcome Investors I, LLC. The members of Group Outcome Investors I, LLC are Isabel Stockman Trust, Martha Davis, Trustee; Hope Stockman Trust, Martha Davis, Trustee; Phoebe Stockman Trust, Martha Davis, Trustee; and Elizabeth Stockman Trust, Martha Davis, Trustee. Each of the members shares voting and dispositive power with respect to the shares. The trustees are children of Robert Stockman, our Chairman of the Board and Chief Executive Officer, and for Section 16 purposes, we have reported the full beneficial ownership of Group Outcome Investors I, LLC under Mr. Stockman's beneficial ownership. Mr. Stockman disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein.
  4. Mr. Stockman, along with Jennifer Rainin, is the trustee of the Kenneth Rainin Administrative Trust U/D/T 3/29/90 and has voting and dispositive power with respect to these shares. Mr. Stockman disclaims beneficial ownership except to the extent of his pecuniary interest therein.