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4//SEC Filing

JENKINS DAVID A 4

Accession 0001654954-23-003613

CIK 0001716621other

Filed

Mar 26, 8:00 PM ET

Accepted

Mar 27, 5:18 PM ET

Size

14.7 KB

Accession

0001654954-23-003613

Insider Transaction Report

Form 4
Period: 2023-03-23
JENKINS DAVID A
DirectorExec. Chairman of the Board
Transactions
  • Conversion

    Series X Convertible Preferred Stock

    2023-03-23277.5972,292.339 total
    Exercise: $0.00Common Stock (2,292,339 underlying)
  • Conversion

    Common Stock

    2023-03-23+277,597277,597 total
  • Conversion

    Common Stock

    2023-03-23+709,703709,703 total(indirect: See footnote)
  • Conversion

    Common Stock

    2023-03-23+2,2642,264 total(indirect: See footnote)
  • Conversion

    Series X Convertible Preferred Stock

    2023-03-23709.7035,860.54 total(indirect: See footnote)
    Exercise: $0.00Common Stock (5,860,540 underlying)
  • Conversion

    Series X Convertible Preferred Stock

    2023-03-232.26418.691 total(indirect: See footnote)
    Exercise: $0.00Common Stock (18,691 underlying)
Footnotes (5)
  • [F1]This transaction was the result of the automatic conversion of shares of Series X Preferred upon receipt of stockholder approval.
  • [F2]Shares held by a partnership of which the reporting person is the managing member of the managing partner.
  • [F3]Shares held by charitable remainder unitrust of which the reporting person's spouse is the trustee.
  • [F4]Each share of preferred stock will automatically convert into 1000 shares of common stock on or after July 9, 2024, if the Company satisfies the initial listing standards of a national securities exchange or has been delisted from the NYSE American.
  • [F5]Series X Convertible Preferred Stock has no expiration date.

Issuer

Ra Medical Systems, Inc.

CIK 0001716621

Entity typeother

Related Parties

1
  • filerCIK 0001279803

Filing Metadata

Form type
4
Filed
Mar 26, 8:00 PM ET
Accepted
Mar 27, 5:18 PM ET
Size
14.7 KB