0001161697-16-000706.txt : 20160302 0001161697-16-000706.hdr.sgml : 20160302 20160302163727 ACCESSION NUMBER: 0001161697-16-000706 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160229 FILED AS OF DATE: 20160302 DATE AS OF CHANGE: 20160302 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: REPRO MED SYSTEMS INC CENTRAL INDEX KEY: 0000704440 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 133044880 STATE OF INCORPORATION: NY FISCAL YEAR END: 0228 BUSINESS ADDRESS: STREET 1: 24 CARPENTER RD CITY: CHESTER STATE: NY ZIP: 10918 BUSINESS PHONE: 845-469-2042 MAIL ADDRESS: STREET 1: 24 CARPENTER RD CITY: CHESTER STATE: NY ZIP: 10918 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Narishkin Cyril Nicholas CENTRAL INDEX KEY: 0001657005 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12305 FILM NUMBER: 161477593 MAIL ADDRESS: STREET 1: 1812 BRADBURN DRIVE CITY: TOWN AND COUNTRY STATE: MO ZIP: 63131 4 1 form_4.xml FORM 4 FOR 02-29-2016 X0306 4 2016-02-29 0 0000704440 REPRO MED SYSTEMS INC REPR 0001657005 Narishkin Cyril Nicholas 1812 BRADBURN DRIVE ST. LOUIS MO 63131 1 0 0 0 Common Stock 2016-02-29 4 P 0 81976 A 81976 D Common Stock 2016-02-29 4 A 0 14566 0 A 96542 D Shares issued pursuant to a consulting agreement between the Company and Mr. Narishkin in his capacity as interim COO pursuant to which a portion of Mr. Narishkin's compensation is paid in shares of the Company's common stock. In accordance with the consulting arrangement, the number of shares issued was calculated based on the closing share prices of the Company's common stock on the dates as follows: 10/31/15 at $0.41, 11/30/15 at $0.41, 12/31/15 at $0.55, 1/29/16 at $0.47, 2/9/16 at $0.45. The filing of this statement shall not be construed as an admission (a) that the person filing this statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any equity securities covered by this statement, or (b) that this statement is legally required to be filed by such person. /s/ Cyril Narishkin 2016-03-02