0001161697-16-001097.txt : 20161003 0001161697-16-001097.hdr.sgml : 20161003 20161003163441 ACCESSION NUMBER: 0001161697-16-001097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160929 FILED AS OF DATE: 20161003 DATE AS OF CHANGE: 20161003 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: Anderson David W CENTRAL INDEX KEY: 0001304554 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12305 FILM NUMBER: 161916107 MAIL ADDRESS: STREET 1: 514 LYNMERE ROAD CITY: BRYN MAWR STATE: PA ZIP: 19010 4 1 form_4.xml FORM 4 FOR 09-29-2016 X0306 4 2016-09-29 0 0000704440 REPRO MED SYSTEMS INC REPR 0001304554 Anderson David W 100 LAKESIDE DRIVE, STE 100 HORSHAM PA 19044 1 0 0 0 Common Stock 2016-09-29 4 A 0 8929 0 A 8929 D 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/ David W. Anderson 2016-10-03