Filing Details

Accession Number:
0001493152-19-019411
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-12-18 16:58:20
Reporting Period:
2019-12-16
Accepted Time:
2019-12-18 16:58:20
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 2019-12-16 22,436 $0.75 1,610,651 No 4 S Indirect See Footnote
Common Stock Disposition 2019-12-17 4,448 $0.75 1,606,203 No 4 S Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S 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. The price reported is a weighted average. These shares were sold in multiple transactions at prices ranging from not less than $0.75 to not more than $0.80. The reporting person undertakes to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the shares sold at each separate price within the ranges set forth in the footnotes to this Form 4 that report a range of prices.
  2. Shares held of record by a family trust of which Martin Burstein is the sole trustee.
  3. The price reported is a weighted average. These shares were sold in multiple transactions at prices ranging from not less than $0.75 to not more than $0.76.
  4. Shares held of record by a family trust of which Mr. Burstein's spouse is the sole trustee.