0001716621-18-000004.txt : 20180710 0001716621-18-000004.hdr.sgml : 20180710 20180710142531 ACCESSION NUMBER: 0001716621-18-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180710 DATE AS OF CHANGE: 20180710 EFFECTIVENESS DATE: 20180710 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ra Medical Systems, Inc. CENTRAL INDEX KEY: 0001716621 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 363661826 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-316393 FILM NUMBER: 18946725 BUSINESS ADDRESS: STREET 1: 2070 LAS PALMAS DRIVE CITY: CARLSBAD STATE: CA ZIP: 92011 BUSINESS PHONE: (760) 804-1648 MAIL ADDRESS: STREET 1: 2070 LAS PALMAS DRIVE CITY: CARLSBAD STATE: CA ZIP: 92011 D 1 primary_doc.xml X0708 D LIVE 0001716621 Ra Medical Systems, Inc. 2070 LAS PALMAS DRIVE CARLSBAD CA CALIFORNIA 92011 (760) 804-1648 CALIFORNIA None None Corporation true Dean Irwin c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Director Melissa Burstein c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Director Martin Burstein c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Richard Heymann c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Maurice Buchbinder c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Martin Colombatto c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Director Jeffrey Kraws c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Andrew Jackson c/o Ra Medical Systems, Inc. 2070 Las Palmas Drive Carlsbad CA CALIFORNIA 92011 Executive Officer Biotechnology Decline to Disclose 06b false 2016-08-30 false true false 0 5340000 5340000 0 false 64 0 true 0 true 0 true false Ra Medical Systems, Inc. /s/ Andrew Jackson Andrew Jackson Chief Financial Officer 2018-07-02