Filing Details

Accession Number:
0001209191-11-046050
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-08-30 18:36:24
Reporting Period:
2011-08-29
Filing Date:
2011-08-30
Accepted Time:
2011-08-30 18:36:24
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
1502901 K. Robert Schultz 5751 Copley Drive, Suite B
San Diego CA 92111
President & Coo No 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 2011-08-29 5,000 $6.77 5,000 No 4 P Indirect The Schultz Family Trust dtd 10/20/2000
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect The Schultz Family Trust dtd 10/20/2000
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 110,000 Direct
Footnotes
  1. Represents the purchase of 50,000 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. Mr. Schultz, along with Patricia Schultz, is the trustee of the The Schultz Family Trust dtd 10/20/2000 and has voting and dispositive power with respect to these shares. Mr. Shultz disclaims beneficial ownership except to the extent of his pecuniary interest therein.