0001161697-17-000431.txt : 20171002
0001161697-17-000431.hdr.sgml : 20171002
20171002214546
ACCESSION NUMBER: 0001161697-17-000431
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170929
FILED AS OF DATE: 20171002
DATE AS OF CHANGE: 20171002
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ma Fred
CENTRAL INDEX KEY: 0001689295
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12305
FILM NUMBER: 171115987
MAIL ADDRESS:
STREET 1: 24 CARPENTER ROAD
CITY: CHESTER
STATE: NY
ZIP: 10918
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
4
1
form_4.xml
FORM 4 FOR 09-29-2017
X0306
4
2017-09-29
0
0000704440
REPRO MED SYSTEMS INC
REPR
0001689295
Ma Fred
24 CARPENTER ROAD
CHESTER
NY
10918
0
1
0
0
Chief Medical Officer
Common Stock
2017-09-29
4
A
0
28302
0.53
A
117019
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/ Fred Ma
2017-10-02