<SEC-DOCUMENT>0001493152-19-019003-index.html : 20191210
<SEC-HEADER>0001493152-19-019003.hdr.sgml : 20191210
<ACCEPTANCE-DATETIME>20191210211433
ACCESSION NUMBER:		0001493152-19-019003
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20191206
FILED AS OF DATE:		20191210
DATE AS OF CHANGE:		20191210

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Burstein Martin
		CENTRAL INDEX KEY:			0001748671

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-38677
		FILM NUMBER:		191278820

	MAIL ADDRESS:	
		STREET 1:		C/O RA MEDICAL SYSTEMS, INC.
		STREET 2:		2070 LAS PALMAS DRIVE
		CITY:			CARLSBAD
		STATE:			CA
		ZIP:			92011

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Martin Burstein Living Trust Dated January 28, 2002
		CENTRAL INDEX KEY:			0001748362

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-38677
		FILM NUMBER:		191278821

	BUSINESS ADDRESS:	
		STREET 1:		C/O RA MEDICAL SYSTEMS, INC.
		STREET 2:		2070 LAS PALMAS DRIVE
		CITY:			CARLSBAD
		STATE:			CA
		ZIP:			92011
		BUSINESS PHONE:		760-804-1648

	MAIL ADDRESS:	
		STREET 1:		C/O RA MEDICAL SYSTEMS, INC.
		STREET 2:		2070 LAS PALMAS DRIVE
		CITY:			CARLSBAD
		STATE:			CA
		ZIP:			92011

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Ra Medical Systems, Inc.
		CENTRAL INDEX KEY:			0001716621
		STANDARD INDUSTRIAL CLASSIFICATION:	SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
		IRS NUMBER:				383661826
		FISCAL YEAR END:			1231

	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
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>ownership.xml
<TEXT>
Document 1 - file: ownership.html

Document 1 - RAW XML: ownership.xml

</DOCUMENT>
</SEC-DOCUMENT>