0001161697-18-000010.txt : 20180102 0001161697-18-000010.hdr.sgml : 20180102 20180102173954 ACCESSION NUMBER: 0001161697-18-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171229 FILED AS OF DATE: 20180102 DATE AS OF CHANGE: 20180102 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: 18502791 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 12-29-2017 X0306 4 2017-12-29 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 2017-12-29 4 A 0 12000 1.25 A 129019 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 2018-01-02