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