Filing Details

Accession Number:
0001493152-19-019003
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-12-10 21:14:33
Reporting Period:
2019-12-06
Accepted Time:
2019-12-10 21:14:33
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1716621 Ra Medical Systems Inc. RMED Surgical & Medical Instruments & Apparatus (3841) 383661826
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1748362 Martin Burstein Living Trust Dated January 28, 2002 7393 Melodia Ter.
Carlsbad CA 92011
No No Yes No
1748671 Martin Burstein 7393 Melodia Ter.
Carlsbad CA 92011
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 Disposition 2019-08-05 77,016 $0.00 54,687 No 5 J Direct
Common Stock Acquisiton 2019-08-05 77,016 $0.00 1,681,516 No 5 J Indirect See Footnote
Common Stock Disposition 2019-12-06 1,208 $1.27 1,680,308 No 4 S Indirect See Footnote
Common Stock Disposition 2019-12-09 28,988 $1.06 1,651,320 No 4 S Indirect See Footnote
Common Stock Disposition 2019-12-10 54,687 $0.00 0 No 5 J Direct
Common Stock Acquisiton 2019-12-10 54,687 $0.00 1,706,007 No 5 J Indirect See Footnote
Common Stock Disposition 2019-12-10 46,820 $1.01 1,659,187 No 4 S Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 J Direct
No 5 J Indirect See Footnote
No 4 S Indirect See Footnote
No 4 S Indirect See Footnote
No 5 J Direct
No 5 J Indirect See Footnote
No 4 S Indirect See Footnote
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 350,000 Indirect See Footnote
Footnotes
  1. Represents transfer of shares for no consideration from Martin Burstein to a family trust (the "Burstein Trust") of which Martin Burstein is the sole trustee.
  2. 47,547 shares represented by restricted stock units held by Mr. Burstein were forfeited in connection with the termination of his consulting services to the issuer.
  3. Shares held of record by the Burstein Trust.
  4. Shares held of record by a family trust of which Mr. Burstein's spouse is the sole trustee.