Filing Details

Accession Number:
0001209191-20-059505
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-11-19 18:29:15
Reporting Period:
2020-11-19
Accepted Time:
2020-11-19 18:29:15
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1716621 Ra Medical Systems Inc. RMED () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1467816 Joan Stafslien C/O Ra Medical Systems, Inc.
2070 Las Palmas Drive
Carlsbad CA 92011
Yes No 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 2020-11-19 4,410 $5.67 4,410 No 4 P Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Footnote
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 5,000 Direct
Footnotes
  1. Represents the weighted average share price of an aggregate total of 4,410 shares purchased in the price range of $5.54 to $5.80 by the reporting person. The reporting person undertakes to provide upon request by the Commission staff, the issuer or a security holder of the issuer, full information regarding the number of shares purchased at each separate price.
  2. Shares held of record by the Thomas & Joan Stafslien Family B Trust dated 6/17/1997, for which the reporting person serves as trustee.
  3. On November 16, 2020, the common stock of the company reverse-split 25-for-1, resulting in the reporting persons ownership being reduced by 120,000.