0001161697-17-000232.txt : 20170505
0001161697-17-000232.hdr.sgml : 20170505
20170505134809
ACCESSION NUMBER: 0001161697-17-000232
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170503
FILED AS OF DATE: 20170505
DATE AS OF CHANGE: 20170505
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: 1231
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: Ma Fred
CENTRAL INDEX KEY: 0001689295
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 17817542
MAIL ADDRESS:
STREET 1: 24 CARPENTER ROAD
CITY: CHESTER
STATE: NY
ZIP: 10918
3
1
form_3.xml
FORM 3 FOR 05-03-2017
X0206
3
2017-05-03
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001689295
Ma Fred
96 HEATHER RIDGE
ROCHESTER
NY
14626
0
1
0
0
Chief Medical Officer
Common Stock
46164
D
The Company hired Mr. Ma as an employee on November 1, 2016 and as part of his employment agreement he will be awarded shares of the Company's common stock quarterly. The number of shares issued each quarter shall be determined by dividing $15,000 by the closing bid price of the Company's common stock as reported by the OTC Markets Inc. as of the last working day of such quarter (the "Closing Price"). Mr. Ma became an "officer" as defined in Rule 16a-1(f) of the Securities Exchange Act of 1934 on May 3, 2017.
/s/ Fred Ma
2017-05-05