0001161697-16-000861.txt : 20160523 0001161697-16-000861.hdr.sgml : 20160523 20160523155701 ACCESSION NUMBER: 0001161697-16-000861 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160229 FILED AS OF DATE: 20160523 DATE AS OF CHANGE: 20160523 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: Sealfon Brad Alexander CENTRAL INDEX KEY: 0001604872 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12305 FILM NUMBER: 161668981 MAIL ADDRESS: STREET 1: 24 CARPENTER ROAD CITY: CHESTER STATE: NY ZIP: 10918 5 1 form_5.xml FORM 5 FOR 02-29-2016 X0306 5 2016-02-29 0 0 0 0000704440 REPRO MED SYSTEMS INC REPR 0001604872 Sealfon Brad Alexander 24 CARPENTER ROAD CHESTER NY 10918 1 0 0 0 REPR Common Stock 2015-12-30 5 G 0 70000 0 A 85000 D Mr. Brad Sealfon acquired 70,000 as a gift from his Father, Andrew Sealfon the Company's CEO. Brad A. Sealfon 2016-05-23