0001161697-17-000433.txt : 20171002 0001161697-17-000433.hdr.sgml : 20171002 20171002214819 ACCESSION NUMBER: 0001161697-17-000433 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: Baker Paul Mark CENTRAL INDEX KEY: 0001329500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12305 FILM NUMBER: 171115989 MAIL ADDRESS: STREET 1: 20 COOLIDGE CT CITY: MIDDLETOWN STATE: NY ZIP: 10940 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 0001329500 Baker Paul Mark 35 MAIDEN LANE GOSHEN NY 10924 1 0 0 0 Common Stock 2017-09-29 4 A 0 5896 0.53 A 1860685 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/ Paul M. Baker 2017-10-02